Individual
ALESACE LAURAINE KENE TAGOUATIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 MORTON ST, SPRINGFIELD, MA 01119-1917
(774) 522-8613
Mailing address
209 MORTON ST, SPRINGFIELD, MA 01119-1917
(774) 522-8613
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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