ASHLEY PROVENCIO

CHEYENNE, WY
NPI1649869272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-01-18
Last Update Date2021-01-18
Business Address
ASHLEY PROVENCIO
1920 THOMES AVE STE 110
CHEYENNE, WY 82001-3543
Phone number: 210-823-3808
Mailing Address
ASHLEY PROVENCIO
1516 E 17TH ST
CHEYENNE, WY 82001-4920
Phone number: 210-823-3808
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