Individual
JENNIFER LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2120 FORD PKWY, SAINT PAUL, MN 55116-1863
(651) 241-9600
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17909
MN
Other
Enumeration date
01/24/2022
Last updated
03/30/2022
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