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Individual
MS. LARA BETH WANLASS
Active
Individual
MS. LARA BETH WANLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
414984031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
414984031
NYS SPECIAL EDUCATION CERTIFICATE
NY
Enumeration date
06/14/2012
Last updated
09/16/2016
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