Provident Inc.

NPI #1427231315 in Arnold, Missouri

Provider Information

NPI Number: 1427231315
Entity Type: Organization
Organization Name: Provident Inc.
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 13, 2007
Last Updated: Dec 13, 2007

Practice Location

Address: 3675 W OUTER RD
City: Arnold
State: Missouri
ZIP Code: 63010-5232
Phone: (314) 898-0102

Authorized Official

Name: MS. VALERIE MOORE
Title: INSURANCE SPECIALIST
Phone: (314) 371-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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