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1578765939
MARK LASTER
REGO PARK, NY
NPI
1578765939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R026562)
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
Mr. MARK LASTER LCSW
6515 ALDERTON ST
REGO PARK, NY 11374-5052
Phone number: 646-515-9083
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Mailing Address
Mr. MARK LASTER LCSW
6515 ALDERTON ST
REGO PARK, NY 11374-5052
Phone number: 646-515-9083
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