MATTHEW P PROVOST
Speech Language Pathology at Jefferson Blvd, Warwick, RI

License number
Rhode Island SP00739
Issued Date
Sep 6, 2002
Expiration Date
Jun 30, 2018
Category
Speech Language Path./Audio
Type
Speech Lang. Pathologist
Address
Address
110 Jefferson Blvd, Warwick, RI 02888
Phone
(401) 463-0202 (Work)
LicenseFiles verified this license of Apr 7, 2017 at the Rhode Island Department of Health.

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