Individual
ALISSA LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 S DIXIE HWY STE 200, WEST PALM BEACH, FL 33405-1548
(561) 612-6045
(561) 612-6095
Mailing address
3111 S DIXIE HWY STE 200, WEST PALM BEACH, FL 33405-1548
(561) 612-6062
(561) 612-6095
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010893100
—
FL
Enumeration date
04/10/2014
Last updated
01/03/2017
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