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Individual

WILLIAM KEITH LAGASSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
105 MIDDLE ST STE 2, LEWISTON, ME 04240-7037
(207) 576-9645
(207) 784-6021
Mailing address
105 MIDDLE ST STE 2, LEWISTON, ME 04240-7037
(207) 576-9645
(207) 784-6021

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11562
ME

Other

Enumeration date
04/11/2007
Last updated
05/08/2008
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