Individual
NOELLE GAYANE LEPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
484 MAIN ST, STE. 560, WORCESTER, MA 01608-1893
(508) 316-9567
Mailing address
81 PLANTATION ST, STE. 560, WORCESTER, MA 01604-3069
(508) 316-9567
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1522MF
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1522MF
BOARD OF ALLIED MENTAL HEALTH PROFESSIONAL LICENSURE
MA
Enumeration date
05/28/2013
Last updated
07/01/2015
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