MICHAEL PROVENZANO

LANSING, MI
NPI1225546831
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MI  6401012536)
Enumeration Date2018-01-17
Last Update Date2018-01-17
Business Address
MICHAEL PROVENZANO
913 W HOLMES RD STE 200
LANSING, MI 48910-0426
Phone number: 517-887-0226
Mailing Address
MICHAEL PROVENZANO
913 W HOLMES RD STE 200
LANSING, MI 48910-0426
Phone number: 517-887-0226
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