CARY MARIE PROVOL

EUGENE, OR
NPI1407016751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-06-11
Last Update Date2008-06-11
Business Address
-- CARY MARIE PROVOL
550 RIVER RD
EUGENE, OR 97404-3212
Phone number: 541-689-8795
Mailing Address
-- CARY MARIE PROVOL
550 RIVER RD
EUGENE, OR 97404-3212
Phone number: 541-689-8795
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