Individual
MS. LAURIE ANNE TAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
14 CASINO RD, MARBLEHEAD, MA 01945-2823
(714) 343-8894
Mailing address
26741 PORTOLA PKWY STE 1E, FOOTHILL RANCH, CA 92610-1763
(714) 343-8894
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
48881
CA
106H00000X
Marriage & Family Therapist
IMF 40998
CA
106H00000X
Marriage & Family Therapist
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Other
Enumeration date
10/04/2006
Last updated
04/27/2023
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