Individual
SOFIA HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CGC
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
PGC200
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S10041286
DRIVERS LICENSE
MA
Enumeration date
11/04/2022
Last updated
11/04/2022
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