MARIA PROVENZNAO

BRONX, NY
NPI1013328228
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  080206-1)
Enumeration Date2014-05-12
Last Update Date2016-03-11
Business Address
-- MARIA PROVENZNAO LCSW
981 MORRIS PARK AVENUE
BRONX, NY 10462
Phone number: 646-225-0830
Mailing Address
-- MARIA PROVENZNAO LCSW
101 HAWKINS ST
BRONX, NY 10464-1484
Phone number: 646-225-0830
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