BETH PROVOST, LCSW, LMSW

Social Worker

Active Individual
NPI: 1194187757

Practice Address

1060A LOWELL DR
Oconomowoc, WI 53066

Phone: (262) 443-7917

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes 12062-123 (WI)
Social Worker - Clinical 1041C0700X No 11953-123 (WI)
Case Manager/Care Coordinator 171M00000X No -

Frequently Asked Questions

NPI 1194187757 is the National Provider Identifier for BETH PROVOST, LCSW, LMSW, a Social Worker provider located in Oconomowoc, WI. This NPI was enumerated on March 23, 2016.
BETH PROVOST, LCSW, LMSW practices at 1060A LOWELL DR, Oconomowoc, WI 53066.

Quick Facts

NPI
1194187757
Type
Individual
Enumerated
Mar 23, 2016
Last Updated
Dec 10, 2024

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