Individual
LAURENCE N GAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 STEPPING STONE LN, PORTLAND, ME 04103-3951
(207) 347-1309
Mailing address
4 STEPPING STONE LN, PORTLAND, ME 04103-3951
(207) 347-1309
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC1736
ME
Other
Enumeration date
06/12/2012
Last updated
01/13/2015
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