Individual
LILA GRISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
55 CARLTON ST, ATHENS, GA 30602-1755
(706) 542-8621
(706) 583-0217
Mailing address
55 CARLTON ST, ATHENS, GA 30602-1755
(706) 542-8621
(706) 583-0217
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW004759
GA
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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