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1740547686
PHYLLIS LAVIGNA
SOUTH DAYTONA, FL
NPI
1740547686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: FL SW9461)
Enumeration Date
2012-04-17
Last Update Date
2024-03-14
Business Address
PHYLLIS LAVIGNA LCSW
1635 S RIDGEWOOD AVE STE 225
SOUTH DAYTONA, FL 32119-8478
Phone number: 386-788-5021
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Mailing Address
PHYLLIS LAVIGNA LCSW
1635 S RIDGEWOOD AVE STE 225
SOUTH DAYTONA, FL 32119-8478
Phone number: 386-788-5021
Copy
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