Lisa Provost, MA
NPI #1225108525 in Rockland, Massachusetts
Provider Information
- NPI Number
- 1225108525
- Entity Type
- Individual
- Name
- Lisa Provost, MA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Credential
- MA
- Enumeration Date
- Nov 8, 2006
- Last Updated
- Dec 18, 2007
Practice Location
- Address
- 100 LEDGEWOOD PL
- City
- Rockland
- State
- Massachusetts
- ZIP Code
- 02370-1075
- Phone
- (781) 871-6550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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