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Individual

MISS LAURA BERNAL-CORZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
113 W BROAD ST, STATESVILLE, NC 28677-5257
(980) 495-8720
(980) 759-0590
Mailing address
64 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-4881
(617) 847-1950
(617) 774-1490

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
Primary
2116
NC

Other

Enumeration date
06/17/2014
Last updated
10/08/2024
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