Individual
ELAINE L LAGASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
24 FRONT ST, EXETER, NH 03833-2727
(603) 773-0088
(603) 772-4517
Mailing address
PO BOX 35, NEWFIELDS, NH 03856-0035
(603) 773-0088
(603) 772-4517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
107933
MA
1041C0700X
Clinical Social Worker
Primary
832
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30420039
—
NH
Enumeration date
01/10/2007
Last updated
07/09/2007
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