Individual
GEORGIANA PROVANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
121 N MAIN ST STE 200, GREENSBURG, PA 15601-2408
(878) 884-7158
Mailing address
238 OGLEVEE LN, CONNELLSVILLE, PA 15425-3842
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW134094
PA
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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