BETH PROVOST, LCSW, LMSW

LCSW, LMSW

Social Worker

NPI: 1194187757Individual

Specialties, Licenses & Credentials

Social WorkerPrimary

Social Worker

Code: 104100000X

115179(IA)12062-123(WI)

Clinical Social Worker

Social Worker — Clinical

Code: 1041C0700X

11953-123(WI)

Case Manager/Care Coordinator

Case Manager/Care Coordinator

Code: 171M00000X

Contact & Hours

Address: 1060A LOWELL DR
OCONOMOWOC, WI 53066
Phone: (262) 443-7917

Quick Facts

NPI: 1194187757
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 4
Locations: 1

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