Individual
MICHELLE LAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
605 VALLEY RD STE 4, UPPER MONTCLAIR, NJ 07043-1455
(973) 746-2500
Mailing address
294 GETTYSBURG WAY, LINCOLN PARK, NJ 07035-1834
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05948700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2245
INSURANCE
NJ
Enumeration date
09/27/2021
Last updated
09/27/2021
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