Kristen Provost, LMSW

NPI #1679002489 in Harrison, Michigan

Provider Information

NPI Number: 1679002489
Entity Type: Individual
Name: Kristen Provost, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jun 6, 2017
Last Updated: Jul 24, 2019

Practice Location

Address: 789 N CLARE AVE
City: Harrison
State: Michigan
ZIP Code: 48625-8250
Phone: (989) 539-2141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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