MS. Elizabeth Provost, LCSW

NPI #1871773440 in Spring Branch, Texas

Provider Information

NPI Number: 1871773440
Entity Type: Individual
Name: MS. Elizabeth Provost, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Nov 12, 2007
Last Updated: Aug 26, 2013

Practice Location

Address: 1620 GREEN MEADOW LN
City: Spring Branch
State: Texas
ZIP Code: 78070-5319
Phone: (830) 822-2361

Specialties & Taxonomy Codes

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

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