Individual
MS. LISA BENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISAC
Contact information
Practice address
PO BOX 746878, ATLANTA, GA 30374-6878
(866) 277-9071
Mailing address
PO BOX 746878, ATLANTA, GA 30374-6878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009518
WA
Other
Enumeration date
11/16/2011
Last updated
11/05/2025
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