Individual
LISA LASSETER MOBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
146 PIERCE AVENUE, MACON, GA 31204
(478) 745-0244
(478) 745-1423
Mailing address
146 PIERCE AVENUE, MACON, GA 31204
(478) 745-0244
(478) 745-1423
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
814
GA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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