Individual
LISA COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
801 MILLS AVE, MUSKEGON, MI 49445-2911
(231) 750-1447
Mailing address
801 MILLS AVE, MUSKEGON, MI 49445-2911
(231) 750-1447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801080607
MI
1041S0200X
School Social Worker
Primary
6801080607
MI
Other
Enumeration date
06/08/2014
Last updated
06/08/2014
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