Individual
LISA VAN DER MERWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
162 PROSPECT PL, ALPHARETTA, GA 30005-5445
(770) 356-4408
Mailing address
162 PROSPECT PL, ALPHARETTA, GA 30005-5445
(770) 356-4408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003846
GA
Other
Enumeration date
06/30/2011
Last updated
05/03/2012
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