Individual
MEAGAN PAVAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC 1
Contact information
Practice address
31 WORKSHOP ROAD, SOUTH YARMOUTH, MA 02664
(855) 830-4329
Mailing address
31 WORKSHOP ROAD, SOUTH YARMOUTH, MA 02664
(855) 830-4329
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1598
MA
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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