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Individual

LORREL LYNCOOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S,

Contact information

Practice address
64 DOHERTY AVE, ELMONT, NY 11003-2413
(917) 476-9214
Mailing address
64 DOHERTY AVE, ELMONT, NY 11003-2413
(917) 476-9214

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
709887
NY

Other

Enumeration date
12/07/2012
Last updated
12/07/2012
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