Organization
DR. LAURA FASCIANO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FASCIANO PSYD (MANAGER)
(203) 530-6979
Entity
Organization
Contact information
Practice address
101 ARCH ST FL 8, BOSTON, MA 02110-7500
(203) 530-6979
Mailing address
505 CONGRESS ST UNIT 1811, BOSTON, MA 02210-2912
(203) 530-6979
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
10123
MA
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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