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General NPI Number Information
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NPI Number | 1407612096
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Entity Type | Individual
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Provider Name | LAUREN MICHELE LAGASSIE LPC
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Gender | Female
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 900 MAIN ST S STE 202
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City | SOUTHBURY
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State | CT
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Zip | 06488-4237
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Country | US
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Telephone | 203-255-5078
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Fax |
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Provider Business Mailing Address
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Address Line | 6 HAYFIELD LN
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City | HEBRON
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State | CT
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Zip | 06248-1363
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 007264
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License Number State | CT
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