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1598368789
LISA DAVIS
LOCUST GROVE, GA
NPI
1598368789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2020-11-19
Last Update Date
2023-05-31
Business Address
LISA DAVIS MA,MS,LPC
8040 LOUIS DR
LOCUST GROVE, GA 30248-7111
Phone number: 708-955-8451
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Mailing Address
LISA DAVIS MA,MS,LPC
8040 LOUIS DR
LOCUST GROVE, GA 30248-7111
Phone number: 708-955-8451
Copy
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