JOHN ROBERT LAVELL

FORT STEWART, GA
NPI1144600552
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  252586)
Enumeration Date2015-06-02
Last Update Date2018-07-07
Business Address
JOHN ROBERT LAVELL LCSW
1061 HARMON AVE
FORT STEWART, GA 31314
Phone number: 912-435-6965
Mailing Address
JOHN ROBERT LAVELL LCSW
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6965