Individual
MRS. LISA RENEE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2655 DALLAS HWY SW STE 430, MARIETTA, GA 30064-7519
(470) 265-6492
Mailing address
2655 DALLAS HWY SW STE 430, MARIETTA, GA 30064-7519
(470) 265-6492
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007667
GA
Other
Enumeration date
10/21/2017
Last updated
10/18/2021
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