Provider Information for 1043789928
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LORA HALE STRYKER LCSW
Sex: Female
NPI: 1043789928
Last Updated: 2018-11-20
Certification Date:
Certification Date:
Details
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NPI | 1043789928 | ||||||||||||
Enumeration Date | 2018-11-20 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 325 N W C OWEN AVE CLEWISTON, FL 33440-2811 United States Phone: 954-242-1670 | Fax: | ||||||||||||
Primary Practice Address | 1100 S OLYMPIA ST CLEWISTON, FL 33440-4400 United States Phone: 863-302-6022 | Fax:863-265-6018 | ||||||||||||
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