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1013426253
COREY LARUE
JOHNSTOWN, PA
NPI
1013426253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-20
Last Update Date
2022-07-21
Business Address
COREY LARUE
119 WALNUT ST
JOHNSTOWN, PA 15901-1625
Phone number: 814-534-0745
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Mailing Address
COREY LARUE
119 WALNUT ST
JOHNSTOWN, PA 15901-1625
Phone number: 814-534-0745
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