Individual
LORA DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5751 WINTER DR, SCOTTSBURG, IN 47170-5623
(812) 302-4738
Mailing address
5751 WINTER DR, SCOTTSBURG, IN 47170-5623
(812) 302-4738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004558A
IN
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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