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1124170550
LARA PATRICE GAGNE
COEUR D ALENE, ID
NPI
1124170550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA Reg. Intern 48617)
Enumeration Date
2007-01-17
Last Update Date
2024-01-09
Business Address
Miss LARA PATRICE GAGNE
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814-2114
Phone number: 208-930-1740
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Mailing Address
Miss LARA PATRICE GAGNE
PO BOX 544
CLAYTON, CA 94517-0544
Phone number: 925-603-0186
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