Individual
JENNIFER LEE LAVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
200 VISTA DR, COLDWATER, MI 49036-1776
(517) 278-8129
Mailing address
591 RIVER RD APT A, COLDWATER, MI 49036-9275
(517) 677-7792
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
07/19/2023
Last updated
07/20/2023
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