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Individual
LYDIA ROSE MOREST
Active
Individual
LYDIA ROSE MOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115583
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1852302
—
MA
Enumeration date
09/06/2006
Last updated
08/12/2011
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