Individual
LISA JOHNSON SEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3104 GLENNHAVEN DR, BYRAM, MS 39272-9377
(601) 953-0105
Mailing address
3104 GLENNHAVEN DR, BYRAM, MS 39272-9377
(601) 953-0105
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C4707
MS
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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