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Individual
DR. LAVERNE DIANE MARKS
Active
Individual
DR. LAVERNE DIANE MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006574
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006574
DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
04/05/2022
Last updated
04/05/2022
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