Individual
PAMELA S LAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
285 BIELBY RD, LAWRENCEBURG, IN 47025-1055
(812) 537-1302
(812) 537-5219
Mailing address
285 BIELBY RD, LAWRENCEBURG, IN 47025-1055
(812) 537-1302
(812) 537-5219
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33004969A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33004969A
STATE LICENSE NUMBER
IN
Enumeration date
10/02/2007
Last updated
10/02/2007
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