Provider Information for 1194379263
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Miss LORA ANN HOROWITZ LPC
Other Names:Former Name:LORA HAMILTON LPCSex: Female
NPI: 1194379263
Last Updated: 2022-01-14
Certification Date: 2022-01-14
Certification Date: 2022-01-14
Details
Name | Value | ||||||||||||
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NPI | 1194379263 | ||||||||||||
Enumeration Date | 2019-07-28 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 119 TEWKESBURY QUAY YORKTOWN, VA 23692-2727 United States Phone: 434-713-1826 | Fax: | ||||||||||||
Primary Practice Address | 9228 GEORGE WASHINGTON MEMORIAL HWY GLOUCESTER, VA 23061-4162 United States Phone: 804-695-8120 | Fax:804-695-8122 | ||||||||||||
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