Individual
MARISSA LAIRSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
189 N BRUNSWICK ST, JESUP, GA 31546-4377
(912) 530-8889
Mailing address
126 HILL ST, HOBOKEN, GA 31542-3338
(912) 614-6559
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
GA
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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