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1265777619
LISA S GERARDOT
AUGUSTA, GA
NPI
1265777619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004786)
Enumeration Date
2012-12-11
Last Update Date
2012-12-11
Business Address
-- LISA S GERARDOT LCSW
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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Mailing Address
-- LISA S GERARDOT LCSW
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number:
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