Individual
JODY R LASHBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1807 SMITH ST, LOGANSPORT, IN 46947-1576
(574) 732-1414
(574) 732-0504
Mailing address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
(317) 338-4703
(317) 338-4890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
34005828A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100464740
—
IN
Enumeration date
02/28/2007
Last updated
12/02/2020
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