Individual
BETHANY LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(931) 873-6370
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
TN
Other
Enumeration date
11/08/2019
Last updated
08/14/2023
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