BETH PROVOST

SPENCER, IA
NPI1194187757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: IA  115179)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2016-03-23
Last Update Date2022-07-07
Business Address
BETH PROVOST LMSW, APSW
201 E 11TH ST
SPENCER, IA 51301-4460
Phone number: 712-262-2922
Mailing Address
BETH PROVOST LMSW, APSW
201 E 11TH ST
SPENCER, IA 51301-4436
Phone number: