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1104416791
LARA MCDAVIT
BRONX, NY
NPI
1104416791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 087711)
Enumeration Date
2021-01-19
Last Update Date
2022-03-22
Business Address
LARA MCDAVIT
1400 PELHAM PKWY S
BRONX, NY 10461-1138
Phone number: 973-903-7418
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Mailing Address
LARA MCDAVIT
86 MEDICAL GROUP UNIT 3215
APO, AE 09094-3215
Phone number:
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