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Search › Michigan › 104100000X

Jacquelyn Provenzola, LMSW

NPI 1477114957 · on the registry since 2019

Practice

Address
4902 Chilson Rd
Howell, MI 48843
Phone
(248) 385-2524
Fax
(844) 640-0684
Organisation at this address
Rooted Wellness & Birth Llc
Emerge And Evolve Therapy Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
1041C0700X
Sex
Female
Record last updated
2023-04-18

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 Michigan