Doctor Name: | MS. LAURALEE JEAN SAMPERE-GAGNON |
NPI Number: | 1053609412 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 17 New South St Northampton, MA - 010604073 |
Business Phone Number: | 4135820471 |
Business Fax Number: | |
Mailing Address: | 1162 N Pleasant St, AMHERST |
State: | MA |
Postal Code: | 010021328 |
Phone Number: | 4132304893 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2011 |
NPI Last Update Date: | 07/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |