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1407202138
JOHN PROVENZANO
COLUMBUS, OH
NPI
1407202138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 17869)
Enumeration Date
2016-05-12
Last Update Date
2016-05-12
Business Address
-- JOHN PROVENZANO LSW
420 N JAMES RD
COLUMBUS, OH 43219-1834
Phone number: 614-388-7374
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Mailing Address
-- JOHN PROVENZANO LSW
420 N JAMES RD
COLUMBUS, OH 43219-1834
Phone number:
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