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Individual

MR. JAMES LAMAR DURAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW-R

Contact information

Practice address
755 WAVERLY AVE, SUITE 402, HOLTSVILLE, NY 11742-1190
(631) 475-3754
Mailing address
755 WAVERLY AVE, SUITE 402, HOLTSVILLE, NY 11742-1190
(631) 475-3754

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
R056254-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
156398
VALUE OPTIONS
NY
Enumeration date
05/19/2007
Last updated
07/08/2007
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