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1558138628
JACOB P DEPRIMO
GONZALES, LA
NPI
1558138628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 11750)
Enumeration Date
2023-12-07
Last Update Date
2023-12-08
Business Address
JACOB P DEPRIMO LCSW
1024 E ASCENSION COMPLEX BLVD
GONZALES, LA 70737-4263
Phone number: 225-743-2445
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Mailing Address
JACOB P DEPRIMO LCSW
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 225-743-2445
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