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Individual

ANNE MARIE LASOSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
250 POND ST, BRAINTREE, MA 02184-5351
(781) 348-2260
(781) 348-2132
Mailing address
33 POND AVE, SUITE # 1121, BROOKLINE, MA 02445-7163
(617) 735-1822
(781) 348-2132

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
7005
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007005
TUFTS
MA
01
012265
PACIFICARE BEHAVIORAL HEA
MA
05
0500801
MA
01
W05938
BLUE CROSS
MA
Enumeration date
01/23/2007
Last updated
07/08/2007
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