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Individual
DAVID LORY VANDERBEEK
Active
Individual
DAVID LORY VANDERBEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
11/22/2010
Last updated
03/08/2013
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