Individual
JAYSON VINCENT LARIVIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 CHURCH ST, LOWELL, MA 01852-6113
(617) 441-1800
Mailing address
3 RIVER PL APT A1901, LOWELL, MA 01852-1064
(978) 604-0872
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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