Individual
KATHRYN ANNA LAVERDIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 SCOTT AVE STE 4, MORGANTOWN, WV 26508-8805
(304) 396-1551
Mailing address
240 SCOTT AVE STE 4, MORGANTOWN, WV 26508-8805
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
873
WV
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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