JANELLE KIRA PROVENCHER

MEDFORD, MA
NPI1881929826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2009-10-08
Last Update Date2010-09-23
Business Address
-- JANELLE KIRA PROVENCHER MSW
10 CABOT RD
MEDFORD, MA 02155-5177
Phone number: 617-312-7294
Mailing Address
-- JANELLE KIRA PROVENCHER MSW
10 CABOT RD
MEDFORD, MA 02155-5177
Phone number: 617-312-7294
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