Michelle Denise La Vergne

NPI #1619718061 in Graham, Washington

Provider Information

NPI Number: 1619718061
Entity Type: Individual
Name: Michelle Denise La Vergne
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 31, 2024
Last Updated: May 31, 2024

Practice Location

Address: PO BOX 624
City: Graham
State: Washington
ZIP Code: 98338-0624
Phone: (360) 761-8794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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