Individual
GLORIA P LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1909 COMMERCE AVE, CULLMAN, AL 35055-6151
(256) 734-4688
Mailing address
PO BOX 2186, CULLMAN, AL 35056-2186
(256) 734-4688
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0591C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000025
—
AL
01
—
515-93418
BLUE CROSS BLUE SHIELD
AL
Enumeration date
04/16/2008
Last updated
11/20/2008
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