DANIELLE M PROVIDAKES

SOMERVILLE, MA
NPI1699057737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MA  9335)
Enumeration Date2011-09-14
Last Update Date2025-06-12
Business Address
DANIELLE M PROVIDAKES
399 REVOLUTION DR
SOMERVILLE, MA 02145-1484
Phone number: 800-856-1983
Mailing Address
DANIELLE M PROVIDAKES
399 REVOLUTION DR
SOMERVILLE, MA 02145-1484
Phone number:
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