Individual
ERICA LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1200 BOYD ST, ASHLAND, NE 68003-1851
(402) 944-7083
Mailing address
1200 BOYD ST, ASHLAND, NE 68003-1851
(402) 944-7083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1754
NE
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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