Individual
MS. MIRA JEAN LAVERGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 DOC PREJEAN ST, SCOTT, LA 70583-5133
(337) 581-2329
Mailing address
921 DOC PREJEAN ST, SCOTT, LA 70583-5133
(337) 581-2329
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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