Individual
DELISHA LATRAE LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, SUITE 213, LAWRENCEVILLE, GA 30045-8444
(678) 377-3745
(678) 990-3997
Mailing address
175 GWINNETT DR, SUITE 213, LAWRENCEVILLE, GA 30045-8444
(678) 377-3745
(678) 990-3997
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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