JACQUELYN MARIE PROVENZOLA

HOWELL, MI
NPI1477114957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence:   6801105007)
Enumeration Date2019-06-25
Last Update Date2023-04-18
Business Address
JACQUELYN MARIE PROVENZOLA LMSW
4902 CHILSON RD
HOWELL, MI 48843-9453
Phone number: 248-385-2524
Mailing Address
JACQUELYN MARIE PROVENZOLA LMSW
4902 CHILSON RD
HOWELL, MI 48843-9453
Phone number: 248-385-2524
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