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Individual

ALEX GERALD LAZARICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
25 WILLOWBROOK RD, QUEENSBURY, NY 12804-5882
(518) 563-7100
Mailing address
25 WILLOWBROOK RD, QUEENSBURY, NY 12804-5882
(518) 563-7100

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
113933
NY
104100000X
Social Worker
Primary

Other

Enumeration date
08/14/2020
Last updated
03/05/2025
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