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Individual
LARA C OSBORNE
Active
Individual
LARA C OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C2-5173
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161773
OH
1041C0700X
Clinical Social Worker
Primary
I.2103194
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399794
—
OH
Enumeration date
08/29/2017
Last updated
02/19/2022
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