Individual
LISA ELIZABETH MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 STONES THROW DR, MCDONOUGH, GA 30253-7417
(678) 760-2081
Mailing address
307 STONES THROW DR, MCDONOUGH, GA 30253-7417
(678) 760-2081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
320900000X
GA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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