LISA NICOLE WALLS

LAWRENCEVILLE, GA
NPI1154510915
Professional NameLISA NICOLE WALLS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-10-17
Last Update Date2007-10-17
Business Address
-- LISA NICOLE WALLS M.Ed.
175 GWINNETT DR
LAWRENCEVILLE, GA 30045-8444
Phone number: 770-339-5377
Mailing Address
-- LISA NICOLE WALLS M.Ed.
9239 SCARLETT DR SW
COVINGTON, GA 30014-2086
Phone number: 678-389-0755
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