Individual
MS. FANTASIA LAURI EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
140 HIGH ST STE 230, SPRINGFIELD, MA 01199-1006
(413) 495-1500
Mailing address
200 YALE ST UNIT 15A, WATERBURY, CT 06704-1564
(203) 721-0769
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MA
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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