Individual
MS. LISA ANN SACKELLARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6000 LIVE OAK PKWY, SUITE 100, NORCROSS, GA 30093-1732
(770) 493-5553
(770) 493-5575
Mailing address
6000 LIVE OAK PKWY, SUITE 100, NORCROSS, GA 30093-1732
(770) 493-5553
(770) 493-5575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004566
GA
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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