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1972107944
LISA GAUTHIER
SAVANNAH, GA
NPI
1972107944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: GA CSW007336)
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
LISA GAUTHIER LCSW
2121 EAST DERENNE AVE
SAVANNAH, GA 31406
Phone number: 912-280-7023
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Mailing Address
LISA GAUTHIER LCSW
124 SW BROAD ST
JESUP, GA 31545-1100
Phone number: 912-280-7023
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