| Lisa Mucker, Lcsw, Llc | |
|
1234 Del Este Ave Ste 901 Denham Springs LA 70726-4828 | |
| (225) 999-5472 | |
| Not Available |
| Full Name | Lisa Mucker, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1234 Del Este Ave Ste 901, Denham Springs, Louisiana |
| Authorized Official Name and Position | Lisa Mucker (OWNER/SOLE MEMEBER) |
| Authorized Official Contact | 2259995472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Mucker, Lcsw, Llc Po Box 1805 Denham Springs LA 70727-1805 Ph: (225) 999-5472 | Lisa Mucker, Lcsw, Llc 1234 Del Este Ave Ste 901 Denham Springs LA 70726-4828 Ph: (225) 999-5472 |
| NPI Number | 1902446347 |
|---|---|
| Provider Enumeration Date | 01/14/2020 |
| Last Update Date | 02/25/2020 |
| Certification Date | 02/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902446347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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