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Individual

DENISE LAWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2257 MAIN STREET, SPRINGFIELD, MA 01107
(413) 733-3488
Mailing address
2257 MAIN ST, SPRINGFIELD, MA 01107-1905

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1301829
MASS HEALTH PROVIDER
MA
Enumeration date
07/07/2017
Last updated
07/07/2017
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