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Individual
MARY ELLEN GEORGIO-LAWLOR
Active
Individual
MARY ELLEN GEORGIO-LAWLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
53643
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952589228
CARES CRISIS RESIDENTIAL
—
01
—
53643
LICENSE
CA
Enumeration date
07/26/2007
Last updated
10/31/2012
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