Individual
LISA BETH ANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 N MILLEDGE AVE, SUITE 219, ATHENS, GA 30601-3810
(706) 540-6249
Mailing address
160 TIMBERLANE DR, ATHENS, GA 30606-2400
(706) 540-6249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2474
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
833623732A
—
GA
Enumeration date
10/12/2006
Last updated
02/22/2012
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