Individual
LARA WALDENMAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 E 320TH ST, WILLOWICK, OH 44095-3539
(440) 742-4656
(440) 792-5081
Mailing address
221 E 320TH ST, WILLOWICK, OH 44095-3539
(440) 742-4656
(440) 792-5081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0008228
OH
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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