Individual
HALEY ELIZABETH ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, LSW, CDCA
Contact information
Practice address
202 GENERAL GARDNER AVE, LAFAYETTE, LA 70501-7824
(740) 500-0484
Mailing address
202 GENERAL GARDNER AVE, LAFAYETTE, LA 70501-7824
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2309516
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0428499
—
OH
Enumeration date
07/28/2023
Last updated
07/28/2023
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