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Individual
MS. MANDA SHERITA LOLLAR
Active
Individual
MS. MANDA SHERITA LOLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
G10906
MD
1041C0700X
Clinical Social Worker
Primary
16439
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259147000
MAGELLAN GROUP
MD
01
—
517251
UHC MAMSI GROUP
—
05
—
609550004
—
MD
01
—
LM49EA
CAREFIRST BCBS GROUP
MD
01
—
R968
CAREFIRST FEDERAL GROUP
DC
Enumeration date
10/26/2006
Last updated
10/30/2019
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