EZRA LAVINSKY

PRESCOTT, AZ
NPI1285476010
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LPC-22856)
Enumeration Date2024-06-11
Last Update Date2024-06-11
Business Address
EZRA LAVINSKY LLC
1579 W GURLEY ST
PRESCOTT, AZ 86305-2829
Phone number: 928-713-3658
Mailing Address
EZRA LAVINSKY LLC
4656 E CHESHIRE LOOP
PRESCOTT VALLEY, AZ 86314-0086
Phone number: 928-499-1951
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