Individual
MRS. ALISON PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
863 WINTER ST, HANSON, MA 02341-1109
(617) 538-4264
Mailing address
863 WINTER ST, HANSON, MA 02341-1109
(617) 538-4264
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5477
MA
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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