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MRS. LIZA MORAN FERNANDEZ LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1013047653

Individual Registrant:
MRS. LIZA MORAN FERNANDEZ LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
120 HANDLEY RD STE 310  TYRONE, GA 30290-2173 US
Tel: 404-644-9244  Fax: 770-632-6351

Contact information for business:
104 KIMMER RD  PEACHTREE CITY, GA 30269-3633 US
Tel: 404-644-9244  Fax: --

Registration Information:
NPI: 1013047653
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
GACSW002573

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000847569BGA05




HEALTH CARE JOBS GA - Page 1



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