Jacquelyn Marie Provenzola, LMSW
NPI #1477114957 in Howell, Michigan
Provider Information
- NPI Number
- 1477114957
- Entity Type
- Individual
- Name
- Jacquelyn Marie Provenzola, LMSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LMSW
- Enumeration Date
- Jun 25, 2019
- Last Updated
- Apr 18, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Social Worker |
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