Individual
MRS. LORIE ANN JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1213 REMOUNT RD, NORTH CHARLESTON, SC 29406-3433
(843) 973-5415
(833) 994-1101
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788
(407) 533-6836
(407) 770-0661
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5288
LA
1041C0700X
Clinical Social Worker
Primary
C008641
SC
Other
Enumeration date
04/01/2014
Last updated
12/27/2021
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