Individual
KRISTIN M LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
500 CROWN POINT CIR STE 100, GRASS VALLEY, CA 95945
(530) 273-2897
(530) 273-2897
Mailing address
500 CROWN POINT CIR STE 100, GRASS VALLEY, CA 95945-9561
(530) 273-2897
(530) 273-2897
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40995
CA
Other
Enumeration date
09/05/2018
Last updated
12/21/2018
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