Individual
LISA BOHNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 HURRICANE ALY, MANDEVILLE, LA 70471-6102
(985) 875-7501
Mailing address
8382 WESTSHORE DR APT J163, COVINGTON, LA 70433-9226
(504) 400-4669
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3459
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3459
—
LA
Enumeration date
02/02/2022
Last updated
02/02/2022
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