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Individual

BRIAN LAVIGNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
QMHS, CMS

Contact information

Practice address
17785 WHITNEY RD APT 216, STRONGSVILLE, OH 44136-2443
(440) 570-0701
Mailing address
17785 WHITNEY RD APT 216, STRONGSVILLE, OH 44136-2443

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/22/2018
Last updated
02/22/2018
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