TARA CANAVAN

BROCKTON, MA
NPI1205284395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA  14001)
Enumeration Date2016-05-30
Last Update Date2016-05-30
Business Address
-- TARA CANAVAN LADCI
30 MEADOWBROOK RD OTP
BROCKTON, MA 02301-7122
Phone number: 508-742-4400
Mailing Address
-- TARA CANAVAN LADCI
30 MEADOWBROOK RD OTP
BROCKTON, MA 02301-7122
Phone number:
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