Individual
ANDREA E LAVERDURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
113 MAIN AVE E, ROLLA, ND 58367
(701) 477-8272
(701) 477-8271
Mailing address
PO BOX 650, DEVILS LAKE, ND 58301-0650
(701) 477-8272
(701) 477-8271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
41211198
ND
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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