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Individual

DR. MELCHESSADECH CLARICE LAVIGNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
675 WESTBROOK DR, BATON ROUGE, LA 70815-6279
(225) 993-9422
Mailing address
2134 GENERAL CLEBURNE AVE, BATON ROUGE, LA 70810-6862
(225) 993-9422

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
53607
TX
106S00000X
Behavior Technician

Other

Enumeration date
05/01/2017
Last updated
04/09/2025
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