Individual
MS. LISA M SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2150 WHITNEY AVE, MEMPHIS, TN 38127-6662
(901) 353-5440
(901) 353-5464
Mailing address
1225 W BEAVER ST STE 120, JACKSONVILLE, FL 32204-1415
(904) 648-6200
(904) 648-6300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
03/01/2021
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