Lagasse, Elaine L

Lagasse, Elaine L is an sole proprietor health care provider with primary practice located at 24 Front St , Exeter NH 03833-2727. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lagasse, Elaine L can be contacted via phone (603) 773-0088.

Contact Information

Primary practice address
24 Front St Exeter NH 03833-2727
Fax: (603) 772-4517
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 832 New Hampshire
Behavioral Health & Social Service Providers / Clinical 1041C0700X 107933 Massachusetts

Profile Details

NPI number 1174673560
LBN Legal business name Lagasse, Elaine L
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174673560 NPPES
New Hampshire MEDICAID 30420039

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