HARRY G PROVADAKES

LOWELL, MA
NPI1760639439
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-08-25
Last Update Date2008-08-25
Business Address
-- HARRY G PROVADAKES M.DIV
555 MERRIMACK ST
LOWELL, MA 01854-3906
Phone number: 978-459-8656
Mailing Address
-- HARRY G PROVADAKES M.DIV
555 MERRIMACK ST
LOWELL, MA 01854-3906
Phone number: 978-459-8656
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