Individual
LISSETH LONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
93 BERRY HILL DR, HENDERSONVILLE, TN 37075-3967
(210) 998-1542
Mailing address
1001 S MAIN ST STE 600, KALISPELL, MT 59901-1498
(210) 998-1542
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P02176
NC
Other
Enumeration date
07/31/2025
Last updated
09/18/2025
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