Individual
KELLY DIONNE LAZARUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3724 RIVIERE MARNE CT, FLORISSANT, MO 63034-3101
(636) 200-8646
Mailing address
1734 CLARKSON RD # 1030, CHESTERFIELD, MO 63017-4976
(636) 200-8646
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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