Beth Provost, LCSW, LMSW
NPI #1194187757 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1194187757
- Entity Type
- Individual
- Name
- Beth Provost, LCSW, LMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LCSW, LMSW
- Enumeration Date
- Mar 23, 2016
- Last Updated
- Dec 10, 2024
Practice Location
- Address
- 1060A LOWELL DR
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-4337
- Phone
- (262) 443-7917
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
| Case Manager/Care Coordinator |
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