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1285918631
LAUREN LUCIELLE PROVENCHER
MOUNT CLEMENS, MI
NPI
1285918631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI L2542834)
Enumeration Date
2011-10-04
Last Update Date
2013-11-18
Business Address
Ms. LAUREN LUCIELLE PROVENCHER MSW
22 CHURCH ST
MOUNT CLEMENS, MI 48043-2351
Phone number: 586-405-2073
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Mailing Address
Ms. LAUREN LUCIELLE PROVENCHER MSW
22 CHURCH ST
MOUNT CLEMENS, MI 48043-2351
Phone number: 586-405-2073
Copy
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