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ANNETTE PROVENCHER LCSW LLC

Clinical Social Worker

NPI: 1225579162Organization

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

44SC04823100(NJ)

Contact & Hours

Address
24 CHAPMAN TER
MIDDLETOWN, NJ 07748

Quick Facts

NPI
1225579162
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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