Individual
MRS. HOLLY JEAN LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 E HOSPITAL RD, ROOM 13A-10, FT GORDON, GA 30905-5650
(706) 787-3656
Mailing address
300 E HOSPITAL ROAD, ROOM 13A-10, FT. GORDON, GA 30905-5650
(706) 787-3656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004029
GA
Other
Enumeration date
06/16/2008
Last updated
09/10/2013
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