Lola R Georg, LPC

NPI #1104182971 in Havertown, Pennsylvania

Provider Information

NPI Number: 1104182971
Entity Type: Individual
Name: Lola R Georg, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Apr 6, 2012
Last Updated: Apr 6, 2012

Practice Location

Address: 525 W CHESTER PIKE
Address 2: SUITE 205
City: Havertown
State: Pennsylvania
ZIP Code: 19083-4500
Phone: (610) 644-6464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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