Individual
LORI THEOBALDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 WEBSTER AVE, NEW ROCHELLE, NY 10804-3537
(914) 263-1419
Mailing address
909 WEBSTER AVE, NEW ROCHELLE, NY 10804-3537
(914) 263-1419
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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