Individual
MS. LISA CAROL DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 MATHIS DR NW, ROME, GA 30165-1242
(706) 270-5033
Mailing address
1401 APPLEWOOD DR, DALTON, GA 30720-2699
(706) 270-5033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58-2103386
—
GA
Enumeration date
11/25/2015
Last updated
12/30/2015
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