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1477836690
LARA EDWARDS
CORAM, NY
NPI
1477836690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 077495-1)
Enumeration Date
2011-09-23
Last Update Date
2011-09-23
Business Address
-- LARA EDWARDS
1 LAKE PLACID CT
CORAM, NY 11727-2022
Phone number: 914-466-6018
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Mailing Address
-- LARA EDWARDS
1 LAKE PLACID CT
CORAM, NY 11727-2022
Phone number: 914-466-6018
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