Shannon Marie Lazarovich

NPI #1073970182 in New Bedford, Massachusetts

Provider Information

NPI Number: 1073970182
Entity Type: Individual
Name: Shannon Marie Lazarovich
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 20, 2016
Last Updated: Jan 20, 2016

Practice Location

Address: 1061 PLEASANT ST
City: New Bedford
State: Massachusetts
ZIP Code: 02740-6728
Phone: (508) 997-4511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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