Individual
STEPHANIE LYNN LAVERRIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
311 ALFRED ST, BIDDEFORD, ME 04005-3127
(207) 286-8416
Mailing address
311 ALFRED ST, BIDDEFORD, ME 04005-3127
(207) 286-8416
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5946
ME
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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