MARISA PROVENZANO, LCSW

LCSW

Clinical Social Worker

NPI: 1003707522IndividualAccepts Medicare

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

128960(CA)

CMS Specialties

PrimaryCLINICAL SOCIAL WORKER

Education

OTHER

Class of 2021

Contact & Hours

Address: 5060 SHOREHAM PL STE 100
SAN DIEGO, CA 92122
Phone: (877) 840-6956

Quick Facts

NPI: 1003707522
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 5

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