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1144600552
JOHN ROBERT LAVELL
FORT STEWART, GA
NPI
1144600552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 252586)
Enumeration Date
2015-06-02
Last Update Date
2018-07-07
Business Address
JOHN ROBERT LAVELL LCSW
1061 HARMON AVE
FORT STEWART, GA 31314
Phone number: 912-435-6965
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Mailing Address
JOHN ROBERT LAVELL LCSW
1061 HARMON AVE
FORT STEWART, GA 31314-5641
Phone number: 912-435-6965
Copy
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