Search › Massachusetts › 1041C0700X

Mary Provencher, LICSW

NPI 1669544235 · on the registry since 2006

Practice

Address
789 Capboardtree St
Harbor Counseling Center
Westwood, MA 02090
Phone
(781) 234-1318

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts