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Individual

MRS. MAEGHAN FIELDS JACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-BACS, OSW-C

Contact information

Practice address
1203 S TYLER ST, COVINGTON, LA 70433-2353
(985) 875-5325
(985) 871-1447
Mailing address
4728 NEYREY DR, METAIRIE, LA 70002-1425
(225) 485-4179

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13897
LA

Other

Enumeration date
05/24/2024
Last updated
05/24/2024
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