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Lawrence Fagen Valid NPI

Individual provider · Counselor · Lebanon, PA

NPI
1942971734
Type
Individual (Type 1)
Primary specialty
Counselor
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101Y00000X
Sex
Male
Sole proprietor
No
Enumerated
2021-09-22
Last updated
2021-09-22
Practice location
618 Cumberland St
Lebanon, PA 17042-5232
(717) 274-2741

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