Individual
MS. HOLLY LASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
610 WAMPANOAG TRL, RIVERSIDE, RI 02915-1504
(401) 431-9870
Mailing address
1223 WILSHIRE BLVD, 333, SANTA MONICA, CA 90403-5400
(310) 351-3519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00549
RI
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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