Individual
MRS. EMILY CROCKER LISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2165 N DECATUR RD, DECATUR, GA 30033-5307
(404) 778-8536
(404) 778-8562
Mailing address
862 HERITAGE TWO, DECATUR, GA 30033-4103
(443) 801-7053
(404) 778-8562
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
09/03/2013
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