Individual
KATHLEEN MAE LAZARICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10434 E JAN AVE, MESA, AZ 85209-7729
(609) 618-8090
Mailing address
10434 E JAN AVE, MESA, AZ 85209-7729
(609) 618-8090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15270
AZ
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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