Individual
JACOB DONOVAN LISHNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
659 AUBURN AVE NE, ATLANTA, GA 30312-5412
(404) 829-4629
Mailing address
426 HIGHLAND LAKE CIR, DECATUR, GA 30033-3444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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