ALYSSA MARIE PROVENZANO

NEW YORK, NY
NPI1780947309
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  086452-1)
Enumeration Date2012-06-19
Last Update Date2012-06-19
Business Address
Miss ALYSSA MARIE PROVENZANO LMSW
1051 RIVERSIDE DR SUITE 1701
NEW YORK, NY 10032-1007
Phone number: 212-543-2958
Mailing Address
Miss ALYSSA MARIE PROVENZANO LMSW
6637 YELLOWSTONE BLVD APT. 4A
FOREST HILLS, NY 11375-2544
Phone number: 917-579-3379
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