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1013290469
LAUREN HIBBARD
LIVERPOOL, NY
NPI
1013290469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-09-22
Last Update Date
2011-09-22
Business Address
-- LAUREN HIBBARD
526 OLD LIVERPOOL ROAD
LIVERPOOL, NY 13088-6249
Phone number: 315-453-3911
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Mailing Address
-- LAUREN HIBBARD
79 GLENRIDGE ROAD
GLENVILLE, NY 12302-4523
Phone number: 518-952-8140
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