Individual
KYNDAL C JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4615 GOVERNMENT ST, BLDG 1, BATON ROUGE, LA 70806-5820
(225) 922-0445
(225) 922-2707
Mailing address
4615 GOVERNMENT ST, BLDG 1, BATON ROUGE, LA 70806-5820
(225) 922-0445
(225) 922-2707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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