Most Relevant Information
Provider Data
| NPI Number: | 1003502436 |
| Provider Name: | LISA GIGUERE FORTSON LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 2424 |
Most Important Dates
| Enumeration Date: | 04/18/2023 |
| Last Updated: | 04/18/2023 |
Provider Practice Location
166 LAFAYETTE ST
LACONIA
NH
032463240
Practice Location Phone/Fax
| Phone: | 6034914573 |
| Fax: |
Provider Mailing Location
166 LAFAYETTE ST
LACONIA
NH
032463240
Provider Mailing Phone/Fax
| Phone: | 6034914573 |
| Fax: |