Individual
LISA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18050 S TAMIAMI TRL, LOT 140, FORT MYERS, FL 33908-4658
(303) 898-6301
Mailing address
18011 S TAMIAMI TRL # 16-52F, FORT MYERS, FL 33908-4697
(303) 898-6301
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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