Individual
JEANIE ANNE LOLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
(662) 236-3071
Mailing address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
(662) 236-3071
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M8580
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W8580
LICENSED SOCIAL WORKER
MS
Enumeration date
10/22/2021
Last updated
10/22/2021
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