LARA PATRICE GAGNE

COEUR D ALENE, ID
NPI1124170550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  Reg. Intern 48617)
Enumeration Date2007-01-17
Last Update Date2024-01-09
Business Address
Miss LARA PATRICE GAGNE
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814-2114
Phone number: 208-930-1740
Mailing Address
Miss LARA PATRICE GAGNE
PO BOX 544
CLAYTON, CA 94517-0544
Phone number: 925-603-0186