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1588121073
LAKENA OUTLAW
BROOKLYN, NY
NPI
1588121073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2019-02-21
Last Update Date
2019-02-21
Business Address
LAKENA OUTLAW
858 E 29TH ST
BROOKLYN, NY 11210-2927
Phone number: 718-859-4500
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Mailing Address
LAKENA OUTLAW
858 E 29TH ST
BROOKLYN, NY 11210-2927
Phone number: 718-859-4500
Copy
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