MRS. Lisa M Ezell, B.A

NPI #1114242062 in Chelsea, Massachusetts

Provider Information

NPI Number: 1114242062
Entity Type: Individual
Name: MRS. Lisa M Ezell, B.A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: B.A
Enumeration Date: Apr 5, 2010
Last Updated: Apr 5, 2010

Practice Location

Address: 301 BROADWAY
City: Chelsea
State: Massachusetts
ZIP Code: 02150-2807
Phone: (978) 998-4774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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