Massachusetts
Division of Professional Licensure
CARRIE A. PROVENCAL
Allied Health Professions
License number
10819
Date granted
09/17/1996
Date expires
03/23/2015
Class
Allied Health Professions
Status
Current
licensingma.org
ID 1755452
LAST UPDATED 2024-03-28 14:42:34 UTC
LAST UPDATED 2024-03-28 14:42:34 UTC
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