RUTH PROVENZANO

VIENNA, VA
NPI1477869246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904008275)
Enumeration Date2010-08-31
Last Update Date2013-07-02
Business Address
-- RUTH PROVENZANO LCSW
9924 STEEPLE RUN
VIENNA, VA 22181-3157
Phone number: 703-967-5313
Mailing Address
-- RUTH PROVENZANO LCSW
9924 STEEPLE RUN
VIENNA, VA 22181-3157
Phone number: 703-967-5313
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