ANNETTE CECILE PROVENCHER

RED BANK, NJ
NPI1972715738
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44sc04823100)
Enumeration Date2007-05-04
Last Update Date2024-11-04
Business Address
ANNETTE CECILE PROVENCHER MSW LCSW
210 BROAD ST
RED BANK, NJ 07701-2060
Phone number: 732-876-3094
Mailing Address
ANNETTE CECILE PROVENCHER MSW LCSW
24 CHAPMAN TER
MIDDLETOWN, NJ 07748-1563
Phone number: 732-615-2359