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1790092088
SOUTH BAY MENTAL HEALTH CENTER
LOWELL, MA
NPI
1790092088
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Entity Type
Organization
Authorized Contact
SARAH MARIE PROVENCHER
Trauma Therapist
603-943-3773
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2010-09-08
Last Update Date
2010-09-08
Business Address
SOUTH BAY MENTAL HEALTH CENTER
148 WARREN ST
LOWELL, MA 01852-2208
Phone number: 978-452-1736
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Mailing Address
SOUTH BAY MENTAL HEALTH CENTER
148 WARREN ST
LOWELL, MA 01852-2208
Phone number: 978-452-1736
Copy
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