Individual
LISA WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
110 PATTON AVE, HATTIESBURG, MS 39401-6155
(601) 582-1111
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0527A
MS
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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