Provider Information for 1770341729
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LORRAINE ANN LAPORTE LCSW
Sex: Female
NPI: 1770341729
Last Updated: 2024-03-13
Certification Date: 2024-03-11
Certification Date: 2024-03-11
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1770341729 | ||||||||
| Enumeration Date | 2024-03-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 332 MANOR LN MARLTON, NJ 08053-4155 United States Phone: 267-237-4941 | Fax: | ||||||||
| Primary Practice Address | 332 MANOR LN MARLTON, NJ 08053-4155 United States Phone: 267-237-4941 | Fax: | ||||||||
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