Individual
AMY LAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
194 WATERMAN ST, PROVIDENCE, RI 02906-4015
(401) 633-2929
Mailing address
194 WATERMAN ST, PROVIDENCE, RI 02906-4015
(401) 633-2929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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