MR. Lawrence Jaquan Stevenson

NPI #1760865455 in Avon, Massachusetts

Provider Information

NPI Number: 1760865455
Entity Type: Individual
Name: MR. Lawrence Jaquan Stevenson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 30, 2015
Last Updated: Jun 30, 2015

Practice Location

Address: 127 W HIGH ST
City: Avon
State: Massachusetts
ZIP Code: 02322-1238
Phone: (508) 631-5561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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