LAUREN LUCIELLE PROVENCHER

MOUNT CLEMENS, MI
NPI1285918631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  L2542834)
Enumeration Date2011-10-04
Last Update Date2013-11-18
Business Address
Ms. LAUREN LUCIELLE PROVENCHER MSW
22 CHURCH ST
MOUNT CLEMENS, MI 48043-2351
Phone number: 586-405-2073
Mailing Address
Ms. LAUREN LUCIELLE PROVENCHER MSW
22 CHURCH ST
MOUNT CLEMENS, MI 48043-2351
Phone number: 586-405-2073
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