Individual
LISA GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2121 EAST DERENNE AVE, SAVANNAH, GA 31406
(912) 280-7023
Mailing address
124 SW BROAD ST, JESUP, GA 31545-1100
(912) 280-7023
(912) 289-0909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007336
GA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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