PHYLLIS LAVIGNA

SOUTH DAYTONA, FL
NPI1740547686
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: FL  SW9461)
Enumeration Date2012-04-17
Last Update Date2024-03-14
Business Address
PHYLLIS LAVIGNA LCSW
1635 S RIDGEWOOD AVE STE 225
SOUTH DAYTONA, FL 32119-8478
Phone number: 386-788-5021
Mailing Address
PHYLLIS LAVIGNA LCSW
1635 S RIDGEWOOD AVE STE 225
SOUTH DAYTONA, FL 32119-8478
Phone number: 386-788-5021