Individual
FEQUIERE LAZARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
318 E BASIN RD, NEW CASTLE, DE 19720-4214
(302) 323-2700
Mailing address
148 TYWYN DR, MIDDLETOWN, DE 19709-8701
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
92293
DE
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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