LISA CLARK

RIVERDALE, GA
NPI1952378226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: GA  PSY002509)
Enumeration Date2006-03-04
Last Update Date2011-02-10
Business Address
Dr. LISA CLARK Ph.D.
225 MEDICAL WAY
RIVERDALE, GA 30274-2522
Phone number: 678-519-1038
Mailing Address
Dr. LISA CLARK Ph.D.
4557 MEADOW CREEK PATH
LITHONIA, GA 30038-7704
Phone number: 678-519-1038
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