| Lorraine La Vigne | |
|
55 E Cedar St Newington CT 06111-2533 | |
| (860) 665-0184 | |
| (860) 665-0532 |
| Full Name | Lorraine La Vigne |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 55 E Cedar St, Newington, Connecticut |
| Authorized Official Name and Position | Lorraine Catherine La Vigne (THERAPIST) |
| Authorized Official Contact | 8606650184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorraine La Vigne 55 E Cedar St Newington CT 06111-2533 Ph: (860) 665-0184 | Lorraine La Vigne 55 E Cedar St Newington CT 06111-2533 Ph: (860) 665-0184 |
| NPI Number | 1134338049 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 11/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134338049 | NPI | - | NPPES |
| 000399 | Other | CT | MFT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 000399 (Connecticut) | Primary |
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