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1578077343
ROSY CHAN PROVINO
EUREKA, CA
NPI
1578077343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 61392)
Enumeration Date
2017-11-30
Last Update Date
2017-11-30
Business Address
ROSY CHAN PROVINO LCSW
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
ROSY CHAN PROVINO LCSW
929 KOSTER ST
EUREKA, CA 95501-0106
Phone number:
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