Lisa Mustillo
Lisa Mustillo is a Clinical Social Worker in Marietta, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia and New York.
- Licensed in
- GA, NY
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
180 Montgomery St NEMarietta, GA 30060-1440
Phone: (917) 992-7896
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1841 Broadway @ 60th Street, New York, NY 10023 — (212) 333-3444
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence CSW006481 (GA) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence NY0829552 (NY) |
Record details
| NPI number | 1912181132 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 24, 2007 |
| Last updated in NPPES | June 7, 2021 |
| Certification date | June 6, 2021 |
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Kevin Perry Moore, LMSW
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Stephanie Moyal, LCSW
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