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Individual

MISS ANDREA LAVERGNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
(318) 742-3408
Mailing address
1128 DUPLECHIN RD, CHURCH POINT, LA 70525-6817
(337) 581-8104

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
222Q00000X
Developmental Therapist

Other

Enumeration date
12/18/2014
Last updated
01/15/2016
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