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Individual
LORI OMARA
Active
Individual
LORI OMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSS, LCSW, CST
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018099
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13874673
CAQH
PA
01
—
955020
AVAILITY
—
Enumeration date
06/07/2013
Last updated
05/22/2020
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