Individual
LISA R HASENKAMPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
63829 HIGHWAY 11, PEARL RIVER, LA 70452-3482
(985) 863-5906
Mailing address
63829 HIGHWAY 11, PEARL RIVER, LA 70452-3482
(985) 863-5906
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3716
LA
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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