Individual
MS. LISA LEVY DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
11755 POINTE PL, SUITE A-1, ROSWELL, GA 30076-4636
(678) 570-8444
Mailing address
336 SAINT CLAIRE DR, ALPHARETTA, GA 30004-3399
(678) 570-8444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003366
GA
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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