Individual
JACQUELINE A LAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 HIGH ST STE 230, SPRINGFIELD, MA 01105-1435
(413) 495-1500
Mailing address
981 ROOSEVELT AVE, SPRINGFIELD, MA 01109-2650
(413) 507-6936
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
09/04/2020
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