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1083060198
LARA AUSTAN
COLUMBIA, MD
NPI
1083060198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD LC7035)
Enumeration Date
2016-05-06
Last Update Date
2016-05-06
Business Address
-- LARA AUSTAN LCPC
10005 OLD COLUMBIA RD SUITE L260
COLUMBIA, MD 21046-1702
Phone number: 443-259-0400
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Mailing Address
-- LARA AUSTAN LCPC
2015 HERITAGE DR
BALTIMORE, MD 21209-1736
Phone number: 609-941-8250
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