MS. Lauren Lucielle Provencher, MSW
NPI #1285918631 in Mount Clemens, Michigan
Provider Information
- NPI Number
- 1285918631
- Entity Type
- Individual
- Name
- MS. Lauren Lucielle Provencher, MSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW
- Enumeration Date
- Oct 4, 2011
- Last Updated
- Nov 18, 2013
Practice Location
- Address
- 22 CHURCH ST
- City
- Mount Clemens
- State
- Michigan
- ZIP Code
- 48043-2351
- Phone
- (586) 405-2073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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