Individual
LOLETHA KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 BRIDGETTE BLVD, LAGRANGE, GA 30241-6647
(912) 381-6237
Mailing address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754
(706) 298-7800
(706) 845-4049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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