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Individual
LILAH J CRELLEY
Active
Individual
LILAH J CRELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
069797
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02249154
—
NY
Enumeration date
07/26/2011
Last updated
07/26/2011
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