Individual
CONOR LAVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 OLD CANAL DR, LOWELL, MA 01851-2730
(978) 453-6800
Mailing address
16 HARVARD DR, BEDFORD, MA 01730-1020
(781) 879-4213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/03/2017
Last updated
05/15/2020
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