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1568534972
DONNA LYNN PROVENZOLA
LOUISVILLE, KY
NPI
1568534972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY KY2041)
Enumeration Date
2006-11-14
Last Update Date
2008-07-02
Business Address
Ms. DONNA LYNN PROVENZOLA LCSW
3430 NEWBURG RD SUITE 212
LOUISVILLE, KY 40218-2497
Phone number: 502-454-8800
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Mailing Address
Ms. DONNA LYNN PROVENZOLA LCSW
3430 NEWBURG RD SUITE 212
LOUISVILLE, KY 40218-2497
Phone number: 502-454-8800
Copy
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