Individual
LORI GUNNER KOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
200 WOOD HILL RD, ROCKVILLE, MD 20850-8724
(301) 838-4200
(301) 309-2596
Mailing address
200 WOOD HILL RD, ROCKVILLE, MD 20850-8724
(301) 838-4200
(301) 309-2596
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
05944
MD
104100000X
Social Worker
0904001916
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132205
MHN
MD
01
—
156610000
MAGELLAN
MD
01
—
235751
KAISER
MD
01
—
5144277
AETNA
MD
01
—
530196598
TRICARE
MD
01
—
54974
UBH
MD
05
—
901301600
—
MD
01
—
A2840039
BCBS OF DC
DC
Enumeration date
08/13/2006
Last updated
11/29/2011
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