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Contact Information

ANDREA LAVERGNE
2525 YOUREE DR STE 110
SHREVEPORT, LA71104-3600
 Phone: 318-742-3408
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for ANDREA LAVERGNE · (Female)

NPI # 1972901221
Status Active
Credentials
Entity Individual
Enumeration date 12/18/2014
Last updated 01/15/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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