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Individual
LARA L. STOVER
Active
Individual
LARA L. STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
021662-1
NY
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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