Individual
LISA ANN BEZIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-1340
(617) 726-1042
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-1340
(617) 726-1042
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
213802
MA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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