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1164914917
LAQUE NICHOLAS
BETHLEHEM, PA
NPI
1164914917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-06-06
Last Update Date
2018-06-06
Business Address
LAQUE NICHOLAS M.A
1620 BROADWAY
BETHLEHEM, PA 18015-3904
Phone number: 610-799-8600
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Mailing Address
LAQUE NICHOLAS M.A
1620 BROADWAY
BETHLEHEM, PA 18015-3904
Phone number: 610-799-8600
Copy
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