Individual
SHASTA KOVALESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THERAPEUTIC MENTORIN
Contact information
Practice address
60 MERRIMACK ST, HAVERHILL, MA 01830-6207
(978) 373-1126
(978) 373-2347
Mailing address
60 MERRIMACK ST, HAVERHILL, MA 01830-6207
(978) 373-1126
(978) 373-2347
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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