GREGORY JOSEPH PROVENZANO

HAMILTON, NJ
NPI1770794943
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor Professional
(Licence: NJ  37PC00312600)
Enumeration Date2007-05-26
Last Update Date2007-07-08
Business Address
MR. GREGORY JOSEPH PROVENZANO M.A., LPC
3379 QUAKERBRIDGE RD STE 101
HAMILTON, NJ 08619-1246
Phone number: 609-439-0777
Mailing Address
MR. GREGORY JOSEPH PROVENZANO M.A., LPC
74 CHESTNUT CT
HILLSBOROUGH, NJ 08844-1403
Phone number: 908-227-7269
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