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Individual

LARA BETH YEAGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
31 JACKSONBURG RD, BLAIRSTOWN, NJ 07825-9661
(908) 878-7961
Mailing address
31 JACKSONBURG RD, BLAIRSTOWN, NJ 07825-9661

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00541200
NJ

Other

Enumeration date
03/31/2023
Last updated
03/31/2023
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