| Dennis Lagrange, Lisw, Cadc | |
|
100 3rd Ave Sw Cedar Rapids IA 52404-5715 | |
| (319) 310-2979 | |
| (319) 200-2063 |
| Full Name | Dennis Lagrange, Lisw, Cadc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 3rd Ave Sw, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Dennis Lagrange (OWNER/THERAPIST) |
| Authorized Official Contact | 3193102979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Lagrange, Lisw, Cadc 100 3rd Ave Sw Cedar Rapids IA 52404-5715 Ph: () - | Dennis Lagrange, Lisw, Cadc 100 3rd Ave Sw Cedar Rapids IA 52404-5715 Ph: (319) 310-2979 |
| NPI Number | 1669027728 |
|---|---|
| Provider Enumeration Date | 08/06/2019 |
| Last Update Date | 08/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669027728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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