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Individual
LARA GARWOOD-MARTIN
Active
Individual
LARA GARWOOD-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178011756
IL
101YP2500X
Professional Counselor
Primary
178011756
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178011756
ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION
IL
Enumeration date
12/27/2018
Last updated
01/25/2023
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