Individual
AMANDA LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
168 SPENCER ST, MANCHESTER, CT 06040-4616
(860) 432-8831
Mailing address
735 LYDALL ST, MANCHESTER, CT 06042-2434
(860) 899-8464
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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