Individual
JACQUELYN LAMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1819 S MERRIFIELD AVE, MISHAWAKA, IN 46544-5631
(574) 993-0811
(765) 741-0335
Mailing address
1819 S MERRIFIELD AVE, MISHAWAKA, IN 46544-5631
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33008035A
IN
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
08/15/2024
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