LISA MICHELE DERALEAU

FORT STEWART, GA
NPI1235159971
Former NameLISA MICHELE POWANDA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: FL  SW6367)
Enumeration Date2006-07-19
Last Update Date2016-05-23
Business Address
MRS. LISA MICHELE DERALEAU LCSW
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 800-652-9211
Mailing Address
MRS. LISA MICHELE DERALEAU LCSW
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number:
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