Individual
LUCA OLIVER LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5700 BOTTINEAU BLVD STE 210, CRYSTAL, MN 55429-3184
(763) 330-2774
Mailing address
5700 BOTTINEAU BLVD STE 210, CRYSTAL, MN 55429-3184
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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