MONICA A PROVENZANO

TULSA, OK
NPI1194989210
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2008-07-17
Last Update Date2008-07-17
Business Address
MS. MONICA A PROVENZANO
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
Mailing Address
MS. MONICA A PROVENZANO
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
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