Individual
LISA RENEE STILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4843 VALLEY VON WAY, BARTLETT, TN 38002-7507
(904) 673-6854
Mailing address
4843 VALLEY VON WAY, BARTLETT, TN 38002-7507
(904) 673-6854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7436
TN
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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