GARY MICHAEL LEACH LAZER

STOCKTON, CA
NPI1457220485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: CA  LCSW93379)
Enumeration Date2025-10-29
Last Update Date2025-10-29
Business Address
GARY MICHAEL LEACH LAZER LCSW
510 E MAGNOLIA ST STE 100
STOCKTON, CA 95202-1850
Phone number: 209-938-0831
Mailing Address
GARY MICHAEL LEACH LAZER LCSW
7414 SHOREHAM PL
STOCKTON, CA 95207-1229
Phone number: 209-938-0831