Individual
ELIZABETH ROSE LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 DUBUQUE ST APT 1, MANCHESTER, NH 03102-5383
(603) 584-8594
Mailing address
345 DUBUQUE ST APT 1, MANCHESTER, NH 03102-5383
(603) 584-8594
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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