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Individual

MS. MARY ALICE LAVELLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.M.T.

Contact information

Practice address
875 MERAIUM AVE, TWIN CITY PLAZA, UNIT 125, LEAMINSTER, MA 01453
(978) 537-4126
Mailing address
875 MERAIUM AVE, TWIN CITY PLAZA, UNIT 125, LEAMINSTER, MA 01453
(978) 537-4126

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9034
MA

Other

Enumeration date
05/29/2012
Last updated
12/04/2019
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