JACQUELYN PROVENZOLA, LMSW

LMSW

Social Worker

NPI: 1477114957Individual

Specialties, Licenses & Credentials

Clinical Social Worker

Social Worker — Clinical

Code: 1041C0700X

6801105007

Social WorkerPrimary

Social Worker

Code: 104100000X

Contact & Hours

Address: 4902 CHILSON RD
HOWELL, MI 48843
Phone: (248) 385-2524

Quick Facts

NPI: 1477114957
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

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