Most Relevant Information
Provider Data
| NPI Number: | 1003323593 |
| Provider Name: | JULIE LYNN LAWLESS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 082118-1 |
Most Important Dates
| Enumeration Date: | 01/05/2018 |
| Last Updated: | 10/03/2019 |
Provider Practice Location
50 LEROY ST
POTSDAM
NY
136761786
Practice Location Phone/Fax
| Phone: | 3152653300 |
| Fax: | 3152615422 |
Provider Mailing Location
3963 COUNTY ROUTE 14
MADRID
NY
136603189
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |