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Individual

JANICE LEPAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16 MAGNOLIA DR, ENFIELD, CT 06082-2016
(860) 977-0769
Mailing address
16 MAGNOLIA DR, ENFIELD, CT 06082-2016
(860) 977-0769

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11330
MA
101YP2500X
Professional Counselor
Primary
3527
CT

Other

Enumeration date
02/16/2016
Last updated
06/21/2024
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