Individual
MS. LAUREN CHAMPAGNE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
MILE 4.2 TALKEETNA SPUR RD, TALKEETNA, AK 99676
(907) 773-9229
(907) 733-1735
Mailing address
PO BOX 1021, TALKEETNA, AK 99676
(907) 232-1938
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
AA229
AK
Other
Enumeration date
03/20/2006
Last updated
07/08/2007
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