Doctor Name: | MRS. ADELE LAVIGNE |
NPI Number: | 1265774905 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | DP00942334 |
Business Practice Address: | 25 S Grafton St Romney, WV - 267571802 |
Business Phone Number: | 3048515432 |
Business Fax Number: | |
Mailing Address: | Po Box 844, ROMNEY |
State: | WV |
Postal Code: | 267570844 |
Phone Number: | 3048515432 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2013 |
NPI Last Update Date: | 03/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | DP00942334 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |