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Individual

RICHARD JASON LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
QMHS MA CMS MA PSY

Contact information

Practice address
16101 SNOW RD, BROOKPARK, OH 44142-2817
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
OH
171M00000X
Case Manager/Care Coordinator
OH
172V00000X
Community Health Worker
Primary
OH

Other

Enumeration date
05/03/2018
Last updated
07/28/2020
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