Individual
LISA T SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1864 BUTTERNUT DR, GROVETOWN, GA 30813-0591
(706) 339-5209
Mailing address
1864 BUTTERNUT DR, GROVETOWN, GA 30813-0591
(706) 339-5209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004490
GA
Other
Enumeration date
08/31/2006
Last updated
07/05/2025
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