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1477086395
TODD PROVENZANO
CINCINNATI, OH
NPI
1477086395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OH E.0004366-SUPV)
Enumeration Date
2017-04-07
Last Update Date
2017-04-07
Business Address
-- TODD PROVENZANO LPCC-S
4721 READING RD
CINCINNATI, OH 45237-6107
Phone number: 513-242-7600
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Mailing Address
-- TODD PROVENZANO LPCC-S
4721 READING RD
CINCINNATI, OH 45237-6107
Phone number: 513-242-7600
Copy
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