Individual
ALICIA D ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
480 EVERSMAN DR, JASPER, IN 47546-3548
(812) 482-3020
(812) 482-6409
Mailing address
480 EVERSMAN DR, PO BOX 769, JASPER, IN 47546-3548
(812) 482-3020
(812) 482-6409
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99049457A
IN
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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