Individual
MRS. LISA POPE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2070 BUFORD HWY, STE 2D, BUFORD, GA 30518-6079
(770) 271-9442
(770) 271-8939
Mailing address
2070 BUFORD HWY, STE 2D, BUFORD, GA 30518-6079
(770) 271-9442
(770) 271-8939
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0001864
GA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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