Most Relevant Information
Provider Data
| NPI Number: | 1003327933 |
| Provider Name: | LISA IBEKWE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | MSW007359 |
Most Important Dates
| Enumeration Date: | 10/18/2017 |
| Last Updated: | 01/04/2020 |
Provider Practice Location
1091 OVERLOOK PKWY
MACON
GA
31210
Practice Location Phone/Fax
| Phone: | 4702426140 |
| Fax: |
Provider Mailing Location
3001 BRASS DR
AUSTELL
GA
301061043
Provider Mailing Phone/Fax
| Phone: | 6787179119 |
| Fax: |