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1972054104
BRIAN RICHARD LAZZARO
PARK RIDGE, IL
NPI
1972054104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071.009356)
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
Dr. BRIAN RICHARD LAZZARO Ph.D.
325 S WESTERN AVE
PARK RIDGE, IL 60068-3820
Phone number: 847-712-1445
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Mailing Address
Dr. BRIAN RICHARD LAZZARO Ph.D.
325 S WESTERN AVE
PARK RIDGE, IL 60068-3820
Phone number: 847-712-1445
Copy
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