Individual
MRS. JENNIFER RANCOURT CIVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CTTS
Contact information
Practice address
71 HOSPITAL AVE, NORTH ADAMS, MA 01247-2504
(413) 664-5567
(413) 664-5087
Mailing address
71 HOSPITAL AVE, NORTH ADAMS, MA 01247-2504
(413) 664-5567
(413) 664-5087
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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