Individual
MS. DEBRA L LILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
635 OLIVE RD., PINE LAKE, GA 30072
(404) 286-1177
Mailing address
PO BOX 322, PINE LAKE, GA 30072-0322
(404) 286-1177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001928
GA
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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