Individual
MRS. LORI ANN CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
301 ANDREWS AVENUE, CLINICAL SOCIAL WORKER, FT. RUCKER, AL 36330
(334) 255-7040
(334) 255-7716
Mailing address
215 BRITT DR, ENTERPRISE, AL 36330-7881
(334) 489-4289
(334) 489-4263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
154
ZZ
1041C0700X
Clinical Social Worker
Primary
2268C
AL
Other
Enumeration date
02/28/2010
Last updated
12/26/2012
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