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Individual
LAURA A NEWBERRY
Active
Individual
LAURA A NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
S.0901113
OH
1041C0700X
Clinical Social Worker
Primary
I.1302150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2871101
—
OH
Enumeration date
07/28/2010
Last updated
03/26/2013
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