Individual
SARAH LAVERGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
486 WORCESTER ST, KENNEDY DONOVAN CENTER, SOUTHBRIDGE, MA 01550-1386
(508) 765-0292
Mailing address
486 WORCESTER ST, KENNEDY DONOVAN CENTER, SOUTHBRIDGE, MA 01550-1386
(508) 765-0292
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
08359
MA
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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