Individual
JEREMY WAYNE LEFAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 HARBOR ST, DANVERS, MA 01923-3390
(781) 402-4631
Mailing address
10 HARBOR ST, DANVERS, MA 01923-3390
(781) 402-4631
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
MA
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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