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Individual

LOLA R GEORG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
525 W CHESTER PIKE, SUITE 205, HAVERTOWN, PA 19083-4500
(610) 644-6464
(610) 889-0732
Mailing address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
(610) 889-0732

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC004689
PA

Other

Enumeration date
04/06/2012
Last updated
04/06/2012
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