Individual
BETHANY LALASHIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 MAIN ST, SOUTHBRIDGE, MA 01550-3794
(508) 765-9101
(508) 764-4389
Mailing address
13 GRASSHOPPER LN, STURBRIDGE, MA 01566-1300
(774) 230-3640
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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