Individual
MARSHA LA BACCAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
100 SAW MILL RD, SUITE 3200, LAFAYETTE, IN 47905-5592
(765) 742-4848
Mailing address
2123 BRIDGEWATER CIR, APT. A, LAFAYETTE, IN 47909-7352
(321) 482-2814
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33005400A
IN
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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