Individual
MS. DENISE LASSALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT ATR
Contact information
Practice address
1927 FAIRGATE COURT, FOLSOM, CA 95630
(916) 983-7202
Mailing address
1927 FAIRGATE CT, FOLSOM, CA 95630-6167
(916) 983-7202
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MB24136
CA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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