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1770166712
LAWRENCE JOSEPH HAAS
FAIRFIELD, CA
NPI
1770166712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149020955)
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
LAWRENCE JOSEPH HAAS LCSW
100 BODIN CIR
FAIRFIELD, CA 94535-1804
Phone number: 707-416-8642
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Mailing Address
LAWRENCE JOSEPH HAAS LCSW
2811 TOLAND DR
FAIRFIELD, CA 94534-3441
Phone number: 208-599-1127
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