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General NPI Number Information
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NPI Number | 1588411052
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Entity Type | Organization
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Legal Business Name | LORI STUBBS LLC
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Dates
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Enumeration Date | 05/02/2024
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 411 UNIVERSITY DR
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City | VALDOSTA
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State | GA
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Zip | 31602-1803
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Country | US
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Telephone | 229-259-6730
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Fax |
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Provider Business Mailing Address
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Address Line | 2410 BEMISS RD STE D
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City | VALDOSTA
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State | GA
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Zip | 31602-4827
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | LORI STUBBS
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Credential |
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Telephone | 229-221-3442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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