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Individual
SHELBY SCOTT LAZAROW
Active
Individual
SHELBY SCOTT LAZAROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY32295
CA
103TC0700X
Clinical Psychologist
32295
CA
103TC0700X
Clinical Psychologist
Primary
PSY32295
CA
Other
Enumeration date
11/04/2020
Last updated
04/29/2024
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