SHAYNA PROVENCHER

NEW LONDON, CT
NPI1801593199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  13552)
Enumeration Date2023-02-08
Last Update Date2025-01-06
Business Address
SHAYNA PROVENCHER LCSW
164 HEMPSTEAD ST
NEW LONDON, CT 06320-5638
Phone number: 860-237-3273
Mailing Address
SHAYNA PROVENCHER LCSW
100 PLAZA CT PO BOX 661
GROTON, CT 06340-5702
Phone number:
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