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Individual

ROBERT MATTHEW LAWLOR

Active
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Individual

ROBERT MATTHEW LAWLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW, LADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301924
MN
1041C0700X
Clinical Social Worker
Primary
16420
MN

Other

Enumeration date
06/11/2011
Last updated
06/11/2011
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