AMANDA L LIS

CHARLOTTE, NC
NPI1477602779
Former NameAMANDA L GRIMMETT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: NC  1139)
Enumeration Date2007-01-09
Last Update Date2012-11-27
Business Address
-- AMANDA L LIS MS, LMFT
360 N CASWELL RD
CHARLOTTE, NC 28204-2442
Phone number: 704-421-4887
Mailing Address
-- AMANDA L LIS MS, LMFT
8041 STONEHAM CT
MATTHEWS, NC 28105-6435
Phone number: 704-421-4887