Jacqueline Provenzano, LCSW
NPI #1316411770 in Centerville, Massachusetts
Provider Information
- NPI Number
- 1316411770
- Entity Type
- Individual
- Name
- Jacqueline Provenzano, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LCSW
- Enumeration Date
- Jan 17, 2019
- Last Updated
- Jan 17, 2019
Practice Location
- Address
- 1185 FALMOUTH RD
- City
- Centerville
- State
- Massachusetts
- ZIP Code
- 02632-3066
- Phone
- (508) 862-9929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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