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Individual
LORA OH
Active
Individual
LORA OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
105729
NY
1041C0700X
Clinical Social Worker
Primary
094852
NY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/28/2017
Last updated
08/03/2023
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