Stephanie Provost Wladkowski, LICSW
NPI #1265698575 in Nahant, Massachusetts
Provider Information
- NPI Number
- 1265698575
- Entity Type
- Individual
- Name
- Stephanie Provost Wladkowski, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Aug 6, 2008
- Last Updated
- Sep 17, 2013
Practice Location
- Address
- 2 HOOD ST
- City
- Nahant
- State
- Massachusetts
- ZIP Code
- 01908-1432
- Phone
- (860) 794-6319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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