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Individual
MS. LISA JOHNSON REID
Active
Individual
MS. LISA JOHNSON REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-A
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1013514587
NC
261QM0850X
Adult Mental Health Clinic/Center
P15282
NC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
P15282
NC
Other
Enumeration date
10/07/2020
Last updated
02/01/2022
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