Individual
ANDREA C. LANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 MYSTIC AVE STE 6, MEDFORD, MA 02155
(781) 396-1199
Mailing address
151 MYSTIC AVE STE 6, MEDFORD, MA 02155-4632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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