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Individual
LAUREN EMILY GALASSO
Active
Individual
LAUREN EMILY GALASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00745088
AGENCY'S MEDICAID MMIS #
NY
01
—
1003991019
AGENCY'S NPI #
NY
Enumeration date
10/08/2010
Last updated
10/08/2010
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