Individual
MRS. LISA RENEE BATTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
200 QUEENSLAND LANE, COVINGTON, GA 30016-3101
(678) 658-7863
Mailing address
200 QUEENSLAND LN, COVINGTON, GA 30016-3101
(678) 658-7863
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1765001
MI
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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