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Individual

BRIDGETTE DENYSE LAVERGNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15188 DELANEY LN, FORNEY, TX 75126-7585
(972) 824-4348
Mailing address
15188 DELANEY LN, FORNEY, TX 75126-7585
(972) 824-4348

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
TX

Other

Enumeration date
02/03/2020
Last updated
02/03/2020
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