Search › Massachusetts › 104100000X
Jacqueline Provenzano, LCSW
NPI 1316411770 · on the registry since 2019
Practice
- Address
- 1185 Falmouth Rd
Centerville, MA 02632 - Phone
- (508) 862-9929
- Clinicians at this address
- 33
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts