Individual
LOLA ROYALTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9231 HAMER RD, GEORGETOWN, OH 45121-1527
(937) 378-6118
Mailing address
9231 HAMER RD, GEORGETOWN, OH 45121-1527
(937) 378-6118
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
UD1003248
OH
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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