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1831419415
JASON CHARLES LAVIOLETTE
EAST WAREHAM, MA
NPI
1831419415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-06-07
Last Update Date
2010-06-07
Business Address
Mr. JASON CHARLES LAVIOLETTE
3086 CRANBERRY HWY
EAST WAREHAM, MA 02538-4801
Phone number: 508-295-7990
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Mailing Address
Mr. JASON CHARLES LAVIOLETTE
40C CARRIAGE DR
NEW BEDFORD, MA 02740-1819
Phone number: 508-264-1630
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