JEANETTE PROVENZA

LUTZ, FL
NPI1710334008
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-05-17
Last Update Date2016-05-17
Business Address
-- JEANETTE PROVENZA
1515 MICHELIN CT
LUTZ, FL 33549-7533
Phone number: 813-949-3904
Mailing Address
-- JEANETTE PROVENZA
2006 FISHERMENS BND
PALM HARBOR, FL 34685-2355
Phone number: 727-415-3260
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