Individual
JACQUELINE LAVOOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
326 CROTON RD, MELBOURNE, FL 32935-6340
(321) 752-3170
Mailing address
1135 WHITE OAK CIR, MELBOURNE, FL 32934-7286
(321) 243-7563
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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