MISS Lara Patrice Gagne
NPI #1124170550 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1124170550
- Entity Type
- Individual
- Name
- MISS Lara Patrice Gagne
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Jan 17, 2007
- Last Updated
- Jan 9, 2024
Practice Location
- Address
- 1044 NORTHWEST BLVD STE C
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2114
- Phone
- (208) 930-1740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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