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SHAYNA PROVENCHER, LCSW
LCSW
Clinical Social Worker
NPI: 1801593199Individual
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
13552(CT)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 164 HEMPSTEAD ST
NEW LONDON, CT 06320 - Phone
- (860) 237-3273
Quick Facts
- NPI
- 1801593199
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 5
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