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Individual

DR. LISA MONETTE TAIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
5238 ASHLEY DR SW, LILBURN, GA 30047-6639
(770) 356-0101
(770) 925-0305
Mailing address
5238 ASHLEY DR SW, LILBURN, GA 30047-6639
(770) 356-0101
(770) 925-0305

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007320
GA

Other

Enumeration date
02/26/2013
Last updated
12/03/2013
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