KYLA PROVAZZA

SOMERSWORTH, NH
NPI1457139222
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-09-21
Last Update Date2023-09-21
Business Address
KYLA PROVAZZA BS
200 ROUTE 108 # 108
SOMERSWORTH, NH 03878-1119
Phone number: 603-953-0077
Mailing Address
KYLA PROVAZZA BS
2 REGENT DR UNIT 222
DOVER, NH 03820-3070
Phone number: 603-828-6640