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Individual
LAURA CHANDLER
Active
Individual
LAURA CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC012673
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265765663
—
PA
01
—
PC012673
PROFESSIONAL COUNSELOR
PA
Enumeration date
09/16/2009
Last updated
03/11/2021
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