JUSTIN ALLAN PRONOVOST

LOWELL, MA
NPI1740587773
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2011-02-28
Last Update Date2011-02-28
Business Address
MR. JUSTIN ALLAN PRONOVOST
77 E MERRIMACK ST UNIT 1
LOWELL, MA 01852-1251
Phone number: 978-453-6800
Mailing Address
MR. JUSTIN ALLAN PRONOVOST
77 E MERRIMACK ST UNIT 1
LOWELL, MA 01852-1251
Phone number: 978-453-6800
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