Individual
MS. LISA ELLEN STURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3807 CLAIRMONT RD, CHAMBLEE, GA 30341-4911
(770) 457-5867
(770) 451-8018
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001001042
GA
Other
Enumeration date
03/13/2007
Last updated
12/19/2012
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