ANNETTE PROVENCHER LCSW LLC
Organization (NPI-2)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1225579162- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 24 CHAPMAN TER, MIDDLETOWN, NJ, 077481563
- Phone
- (732) 876-3094
Specialties & Taxonomies
Social Worker, Clinical
Primary License: NJ #44SC04823100