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1700074952
LARA C WATROUS
SMITHTOWN, NY
NPI
1700074952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 070054-1)
Enumeration Date
2007-10-11
Last Update Date
2023-07-14
Business Address
LARA C WATROUS L.C.S.W.-R
24 BELLEMEADE AVE STE 1
SMITHTOWN, NY 11787-1855
Phone number: 631-265-0060
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Mailing Address
LARA C WATROUS L.C.S.W.-R
24 BELLEMEADE AVE STE 1
SMITHTOWN, NY 11787-1855
Phone number: 631-265-0060
Copy
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