Individual
DR. GLORIA-LEE KAZAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
228 BILLERICA RD, CHELMSFORD, MA 01824-3604
(978) 250-6240
Mailing address
228 BILLERICA RD, CHELMSFORD, MA 01824-3604
(978) 250-6240
(978) 652-1185
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
9330
MA
Other
Enumeration date
02/25/2009
Last updated
03/29/2023
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