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Stephanie Laventure

Counselor in Worcester, MA. Individual provider (NPI-1).

NPI number1144778564
StatusActive
Last updated in NPPESFeb 22, 2021

Details

NPI
1144778564
Entity type
Individual (NPI-1)
Name
Stephanie Laventure
Sex
Female
Sole proprietor
No
Enumeration date
Sep 14, 2016
Certification date
Feb 22, 2021
Last updated
Feb 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes
222Q00000X Developmental Therapist––

Practice location

411 Chandler St
Worcester, MA 01602-3339

Phone 508-799-0688

Mailing address

411 Chandler St
Worcester, MA 01602-3339

Phone 508-799-0688

Other practice locations

345a Greenwood Street, Suite B
Worcester, MA 01607

Phone 508-363-0200

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