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Organization
LORRAINE LA VIGNE
Active
Organization
LORRAINE LA VIGNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORRAINE CATHERINE LA VIGNE MFT (THERAPIST)
(860) 665-0184
Entity
Organization
Contact information
Practice address
55 E CEDAR ST, NEWINGTON, CT 06111-2533
(860) 665-0184
(860) 665-0532
Mailing address
55 E CEDAR ST, NEWINGTON, CT 06111-2533
(860) 665-0184
(860) 665-0532
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000399
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000399
MFT LICENSE
CT
Enumeration date
05/21/2007
Last updated
11/18/2009
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