Individual
MRS. LISA TYER KWASINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
LIFECORE HEALTH GROUP, 2434 SOUTH EASON BLVD, TUPELO, MS 38804-6942
(662) 640-4595
(662) 680-6416
Mailing address
822 EAST BAY CIRCLE, TUPELO, MS 38801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6977
MS
Other
Enumeration date
09/28/2006
Last updated
11/07/2024
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