Provider Information for 1336688431
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LIA CORYN BIGELOW LPC, LMHC
Other Names:Former Name:LIA CORYN LAVASSAUR LPC, LMHCSex: Female
NPI: 1336688431
Last Updated: 2022-03-25
Certification Date: 2022-03-25
Certification Date: 2022-03-25
Details
Name | Value | ||||||||||||||||
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NPI | 1336688431 | ||||||||||||||||
Enumeration Date | 2017-02-22 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 501 SUPERIOR PL WEST PALM BEACH, FL 33409-3739 United States Phone: 561-584-1585 | Fax: | ||||||||||||||||
Primary Practice Address | 110 JFK DR STE 118 ATLANTIS, FL 33462-1146 United States Phone: 561-812-2000 | Fax: | ||||||||||||||||
Secondary Practice Address(es) | 909 N DIXIE HWY 2161 PALM BEACH LAKES BLVD STE 208 | ||||||||||||||||
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