KATIE PROVENCHER

MILFORD, NH
NPI1326458456
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NH  1649)
Enumeration Date2014-04-29
Last Update Date2017-03-07
Business Address
-- KATIE PROVENCHER LICSW
15 UNION STREET
MILFORD, NH 03055
Phone number: 603-271-5402
Mailing Address
-- KATIE PROVENCHER LICSW
15 UNION STREET
MILFORD, NH 03055
Phone number: 603-493-5132
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