Individual
MS. ASHLEY KAY PROVOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1209 N 3RD ST, MARQUETTE, MI 49855-3009
(906) 286-3254
(906) 273-2005
Mailing address
1209 N 3RD ST, MARQUETTE, MI 49855-3009
(069) 286-3254
(906) 273-2005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801098960
MI
Other
Enumeration date
01/20/2016
Last updated
10/22/2019
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