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Individual
MRS. LORI DAWN MAHALA
Active
Individual
MRS. LORI DAWN MAHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS-A
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-25319
NC
1041C0700X
Clinical Social Worker
2011027080
MO
1041C0700X
Clinical Social Worker
Primary
C011851
NC
Other
Enumeration date
11/21/2011
Last updated
03/02/2023
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