Individual
MRS. LISA MICHELLE DRAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001140
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041C0700X
VETERANS AFFAIRS MEDICAL
GA
Enumeration date
07/18/2008
Last updated
07/18/2008
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