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Organization

LISA VAN DER MERWE, LCSW, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA VAN DER MERWE LCSW (PRESIDENT)
(770) 356-4408
Entity
Organization

Contact information

Practice address
5755 N POINT PKWY, SUITE 62, ALPHARETTA, GA 30022-1142
(770) 356-4408
Mailing address
5755 N POINT PKWY, SUITE 62, ALPHARETTA, GA 30022-1142
(770) 356-4408

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW003846
GA

Other

Enumeration date
02/16/2012
Last updated
02/16/2012
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