Richard J Provenzano, LCSW

NPI #1073605945 in Woodstock, Virginia

Provider Information

NPI Number
1073605945
Entity Type
Individual
Name
Richard J Provenzano, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Sep 29, 2006
Last Updated
Oct 27, 2010

Practice Location

Address
227 S MAIN ST
ZIP Code
22664-1451
Phone
(540) 335-3715

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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