Individual
ALAINA PROVENZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
17320 W 12 MILE RD STE 100, SOUTHFIELD, MI 48076-2102
(248) 727-3456
Mailing address
17320 W 12 MILE RD STE 100, SOUTHFIELD, MI 48076-2102
(203) 605-3136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851108848
MI
Other
Enumeration date
09/20/2020
Last updated
03/17/2023
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