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Individual
MS. DONNA LYNN PROVENZOLA
Active
Individual
MS. DONNA LYNN PROVENZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY2041
KY
Other
Enumeration date
11/14/2006
Last updated
07/02/2008
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