Individual
MS. LUCILLE MARIE ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW LMFT
Contact information
Practice address
310 E DUPONT RD, SUITE 2, FORT WAYNE, IN 46825-2048
(260) 490-8110
(260) 490-7707
Mailing address
310 E DUPONT RD, SUITE 2, FORT WAYNE, IN 46825-2048
(260) 490-8110
(260) 490-7707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34002916A
IN
106H00000X
Marriage & Family Therapist
Primary
35000290A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20030080
—
IN
Enumeration date
08/04/2006
Last updated
09/11/2025
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