Dalisa Lusby
Social Worker in Clarksdale, MS. Individual provider (NPI-1).
NPI number1710453071
StatusActive
Last updated in NPPESOct 15, 2018
Details
- NPI
- 1710453071
- Entity type
- Individual (NPI-1)
- Name
- Dalisa Lusby
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2018
- Last updated
- Oct 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
122 Desoto Ave Ste 109Clarksdale, MS 38614-4440
Phone 662-592-5397
Mailing address
860 E River Pl Ste 100Jackson, MS 39202-3442
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All 22 Social Worker providers in Clarksdale · All 467 providers in Clarksdale
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