Individual
MRS. MADISON LAVERGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 HODGES ST, LAKE CHARLES, LA 70601-4215
(337) 882-2100
Mailing address
276 PAISLEY PKWY, SULPHUR, LA 70665-7012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-909
LA
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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