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1316595812
MELISSA CARLA PROVOST
HAVERHILL, MA
NPI
1316595812
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Former Name
MELISSA CARLA DELANEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
MELISSA CARLA PROVOST LCSW
76 SUMMER ST
HAVERHILL, MA 01830-5814
Phone number: 978-556-6250
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Mailing Address
MELISSA CARLA PROVOST LCSW
10 KLONDIKE AVE
HAVERHILL, MA 01832-8600
Phone number: 978-979-2731
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