LAURA M PROVANCAL

NAPERVILLE, IL
NPI1336657170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149019272)
Enumeration Date2018-01-15
Last Update Date2018-01-15
Business Address
LAURA M PROVANCAL LCSW
2272 95TH ST STE 125
NAPERVILLE, IL 60564-8982
Phone number: 630-409-9700
Mailing Address
LAURA M PROVANCAL LCSW
2272 95TH ST STE 125
NAPERVILLE, IL 60564-8982
Phone number: 630-409-9700
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