Individual
LISA JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2777 JEFFERSON ST, SUITE ONE, AUSTELL, GA 30168-4054
(678) 437-6302
Mailing address
2297 DODSON DRIVE, EAST POINT, GA 30344-4054
(678) 437-6302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005038
GA
Other
Enumeration date
09/03/2016
Last updated
09/17/2016
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