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1508048307
DENISE PROVENZA
FOREST HILLS, NY
NPI
1508048307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2007-12-04
Last Update Date
2007-12-04
Business Address
DENISE PROVENZA MSW
104 70 QUEENS BLVD SUITE 200
FOREST HILLS, NY 11375-3694
Phone number: 718-275-6010
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Mailing Address
DENISE PROVENZA MSW
104 70 QUEENS BLVD SUITE 200
FOREST HILLS, NY 11375-3694
Phone number: 718-275-6010
Copy
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