Massachusetts
Division of Professional Licensure
TAMMY PROVENCAL
Allied Health Professions
License number
16821
Date granted
04/06/2004
Date expires
05/02/2015
Class
Allied Health Professions
Status
Current
licensingma.org
ID 1481838
LAST UPDATED 2024-05-16 23:06:26 UTC
LAST UPDATED 2024-05-16 23:06:26 UTC
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