Individual
JUDY T LAGASSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
150 N MAIN ST, MANCHESTER, CT 06042-2003
(860) 646-1222
(860) 647-6819
Mailing address
115 LAKESIDE DR, ANDOVER, CT 06232-1535
(860) 742-0821
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A-3367-SA
CT
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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