Individual
MRS. LISA FRASER-POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2503 LOCH VIEW CT SW, CONYERS, GA 30094-6856
(678) 549-4436
Mailing address
2503 LOCH VIEW CT SW, CONYERS, GA 30094-6856
(678) 549-4436
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006493
GA
Other
Enumeration date
04/06/2019
Last updated
03/20/2024
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