Individual
MS. LISA DONZE JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1445 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3045
(985) 727-7993
(985) 727-7016
Mailing address
129 REIHER RD, MANDEVILLE, LA 70471-7262
(985) 373-4418
(985) 727-7016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7530
LA
Other
Enumeration date
12/05/2007
Last updated
02/18/2013
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