JOHN PROVENZANO

COLUMBUS, OH
NPI1407202138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  17869)
Enumeration Date2016-05-12
Last Update Date2016-05-12
Business Address
-- JOHN PROVENZANO LSW
420 N JAMES RD
COLUMBUS, OH 43219-1834
Phone number: 614-388-7374
Mailing Address
-- JOHN PROVENZANO LSW
420 N JAMES RD
COLUMBUS, OH 43219-1834
Phone number:
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