Individual
LISA A JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, CSW
Contact information
Practice address
841 E CHESTNUT ST, LOUISVILLE, KY 40204-1014
(502) 561-1051
Mailing address
PO BOX 2036, CLARKSVILLE, IN 47131-2036
(502) 457-0893
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6937
KY
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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