Individual
JACLYN LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 WEST ST, ASHLAND, NH 03217-4219
(603) 968-7452
(603) 968-7455
Mailing address
4 CHESTER DR, MEREDITH, NH 03253-5921
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NH
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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