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Individual
JUSTIN LASATER
Active
Individual
JUSTIN LASATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMLP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2891
KS
Other
Enumeration date
01/09/2016
Last updated
11/15/2018
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