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Individual
ANGELIQUE LAWRENCE
Active
Individual
ANGELIQUE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT, CASAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
23079
NY
103T00000X
Psychologist
—
NULL
106H00000X
Marriage & Family Therapist
000059
NY
106H00000X
Marriage & Family Therapist
Primary
0717001324
VA
Other
Enumeration date
02/05/2013
Last updated
08/22/2020
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