Individual
DR. RENEE LACOURCIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLINICAL DOCTOR/SLP
Contact information
Practice address
16 FAIRVIEW ST, IVORYTON, CT 06442-1252
(860) 304-7057
Mailing address
400 BAYONET ST STE 304, NEW LONDON, CT 06320-2600
(860) 304-7057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09147114
CT
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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