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MS. BRENDA R LOTT LMSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1215011473

Individual Registrant:
MS. BRENDA R LOTT LMSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4100 GOSS ROAD FOX ARMY HEALTH CENTER (BMD) REDSTONE ARSENAL, AL 35809-7000 US
Tel: 256-955-8888  Fax: 256-876-8547

Contact information for business:
4100 GOSS ROAD FOX ARMY HEALTH CENTER (CREDENTIALS) REDSTONE ARSENAL, AL 35809-7000 US
Tel: 256-955-6492  Fax: 256-842-2019

Registration Information:
NPI: 1215011473
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
MI6801062679

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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