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1700189842
LISA BERRY ELLIS
BUFORD, GA
NPI
1700189842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA CSW002706)
Enumeration Date
2010-12-12
Last Update Date
2022-08-17
Business Address
LISA BERRY ELLIS LCSW
1400 BUFORD HWY SUITE G-7
BUFORD, GA 30518-8721
Phone number: 404-401-7715
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Mailing Address
LISA BERRY ELLIS LCSW
3635 THOMPSON MILL RD
BUFORD, GA 30519-5448
Phone number: 404-401-7715
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