Individual
CARLA LAURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 BELVUE TERRACE, ASTON, PA 19014
(610) 348-0090
Mailing address
302 BELVUE TERRACE, ASTON, PA 19014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
PA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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