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1255915070
COURTNEY PROVOST
WILLIAMSVILLE, NY
NPI
1255915070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2021-05-07
Last Update Date
2024-01-02
Business Address
COURTNEY PROVOST CCC-SLP
30 WILSON RD
WILLIAMSVILLE, NY 14221-7026
Phone number: 716-856-4201
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Mailing Address
COURTNEY PROVOST CCC-SLP
800 HERTEL AVE STE 101
BUFFALO, NY 14207-1906
Phone number: 716-566-5050
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