CAROLYN PROVOST

WEST LEBANON, NH
NPI1477143212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-01-26
Last Update Date2021-01-26
Business Address
CAROLYN PROVOST
254 PLAINFIELD RD
WEST LEBANON, NH 03784-2001
Phone number: 603-298-2146
Mailing Address
CAROLYN PROVOST
254 PLAINFIELD RD
WEST LEBANON, NH 03784-2001
Phone number: 603-298-2146