Individual
LISA K PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
139 HENRY PKWY, MCDONOUGH, GA 30253-6636
(770) 358-8405
Mailing address
1435 N EXPRESSWAY, GRIFFIN, GA 30223-9016
(770) 358-8405
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005177
GA
Other
Enumeration date
09/18/2014
Last updated
11/07/2014
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