JULIE ANN PROVENZANO

WEBSTER, NY
NPI1386912608
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  019796)
Enumeration Date2011-12-01
Last Update Date2011-12-01
Business Address
Mrs. JULIE ANN PROVENZANO
119 SOUTH AVE
WEBSTER, NY 14580
Phone number: 585-216-0000
Mailing Address
Mrs. JULIE ANN PROVENZANO
1837 STATE RD
WEBSTER, NY 14580-9303
Phone number: 585-315-0057