BEGIN:VCARD VERSION:3.0 FN:Lydia Ephrem N:Ephrem;Lydia;;; TITLE:Behavior Technician TEL;TYPE=WORK,VOICE:+12484364400 URL:https://www.gale.care/providers/mi/farmington-hills/lydia-ephrem-199248 2715 NOTE:NPI 1992482715. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1992482715 END:VCARD