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Individual
LAVINA VELASCO
Active
Individual
LAVINA VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180014477
IL
101YP2500X
Professional Counselor
Primary
LC11120
MD
101YP2500X
Professional Counselor
LGP8399
MD
Other
Enumeration date
09/21/2018
Last updated
09/22/2022
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