MS. SEAN PROVENCIO

Social Worker - Clinical

Active Individual
NPI: 1083508857

Practice Address

617 S HUDSON AVE
Pasadena, CA 91106

Phone: (626) 808-5784

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes ACSW96270 (CA)

Frequently Asked Questions

NPI 1083508857 is the National Provider Identifier for MS. SEAN PROVENCIO, a Social Worker - Clinical provider located in Pasadena, CA. This NPI was enumerated on June 5, 2025.
MS. SEAN PROVENCIO practices at 617 S HUDSON AVE, Pasadena, CA 91106.

Quick Facts

NPI
1083508857
Type
Individual
Enumerated
Jun 5, 2025
Last Updated
Jun 5, 2025

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