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Individual
MARK LAUER
Active
Individual
MARK LAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-03-21
OR
101YM0800X
Mental Health Counselor
L6021
OR
Other
Enumeration date
06/12/2008
Last updated
07/14/2021
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