Individual
ALISA LASALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
57 ORCHARD ST, MARLBOROUGH, MA 01752-4326
(508) 481-3611
Mailing address
57 ORCHARD ST, MARLBOROUGH, MA 01752-4326
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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