GRYPHAN DOUGLAS LOTT

CLIVE, IA
NPI1649840612
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IA  107993)
Enumeration Date2021-06-30
Last Update Date2024-02-12
Business Address
GRYPHAN DOUGLAS LOTT MSW, LISW
12247 STRATFORD DR
CLIVE, IA 50325-8147
Phone number: 515-393-6702
Mailing Address
GRYPHAN DOUGLAS LOTT MSW, LISW
12247 STRATFORD DR
CLIVE, IA 50325-8147
Phone number: 515-393-6702
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