Individual
MRS. LISA LANDERS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 WATERFORD LN, SAVANNAH, GA 31411-1305
(602) 751-6077
(480) 452-1113
Mailing address
1 WATERFORD LN, SAVANNAH, GA 31411-1305
(602) 751-6077
(480) 452-1113
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6672
GA
Other
Enumeration date
10/20/2009
Last updated
11/29/2016
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