Individual
VICTORIA V LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
778 W FRONTAGE RD, SUITE 123, NORTHFIELD, IL 60093-1209
(847) 446-7184
(847) 446-7185
Mailing address
778 W FRONTAGE RD, SUITE 123, NORTHFIELD, IL 60093-1209
(847) 446-7184
(847) 446-7185
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0712398
IL
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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