SHAYNA PROVENCHER

NORWICH, CT
NPI1801593199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  13552)
Enumeration Date2023-02-08
Last Update Date2023-11-29
Business Address
SHAYNA PROVENCHER LCSW
40 BROADWAY
NORWICH, CT 06360-5702
Phone number: 860-887-6536
Mailing Address
SHAYNA PROVENCHER LCSW
40 BROADWAY
NORWICH, CT 06360-5702
Phone number:
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