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Individual

DR. LISSA LOWRY DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
108 E PONCE DE LEON AVE, 208, DECATUR, GA 30030-2512
(678) 952-7078
Mailing address
108 E PONCE DE LEON AVE, SUITE 208, DECATUR, GA 30030-2512
(678) 952-7078

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003404
GA

Other

Enumeration date
04/01/2009
Last updated
12/10/2024
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