Individual
LAZRIA PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 MONARCH DRIVE 2D, RACINE, WI 53406-5500
(262) 833-7402
Mailing address
3801 MONARCH DRIVE 2D, RACINE, WI 53406-5500
(262) 833-7402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16859
WI
101YP2500X
Professional Counselor
Primary
3219
WI
Other
Enumeration date
01/20/2016
Last updated
05/04/2018
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