Individual
LOIS WORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
216 WOODLAWN PARK DR, MCDONOUGH, GA 30253-3399
(678) 360-0805
(678) 814-4441
Mailing address
216 WOODLAWN PARK DR, MCDONOUGH, GA 30253-3399
(678) 360-0805
(678) 814-4441
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287201694A
—
GA
Enumeration date
07/11/2006
Last updated
02/01/2012
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