CHERYL PROVOST

Clinical Social Worker

NPI: 1548941982Individual

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

44SL05736900(NJ)

Contact & Hours

Address: 1 JUNIPER TER
RINGWOOD, NJ 07456
Phone: (551) 427-6648

Quick Facts

NPI: 1548941982
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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