FREDRIC P. PROVENZANO

SEATTLE, WA
NPI1700932696
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: WA  1022)
Enumeration Date2007-01-25
Last Update Date2007-07-08
Business Address
Dr. FREDRIC P. PROVENZANO Ph.D.
5506 33RD AVE NE SUITE D
SEATTLE, WA 98105-2317
Phone number: 206-361-2343
Mailing Address
Dr. FREDRIC P. PROVENZANO Ph.D.
5506 33RD AVE NE SUITE D
SEATTLE, WA 98105-2317
Phone number: 206-361-2343
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