ELIZABETH PROVOST

SPRING BRANCH, TX
NPI1871773440
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  12449)
Enumeration Date2007-11-12
Last Update Date2013-08-26
Business Address
Ms. ELIZABETH PROVOST LCSW
1620 GREEN MEADOW LN
SPRING BRANCH, TX 78070-5319
Phone number: 830-822-2361
Mailing Address
Ms. ELIZABETH PROVOST LCSW
1620 GREEN MEADOW LN
SPRING BRANCH, TX 78070-5319
Phone number: 830-822-2361
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