SHAYNA PROVENCHER, LCSW

Social Worker - Clinical

Active Individual
NPI: 1801593199

Practice Address

164 HEMPSTEAD ST
New London, CT 06320

Phone: (860) 237-3273

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 13552 (CT)

Frequently Asked Questions

NPI 1801593199 is the National Provider Identifier for SHAYNA PROVENCHER, LCSW, a Social Worker - Clinical provider located in New London, CT. This NPI was enumerated on February 8, 2023.
SHAYNA PROVENCHER, LCSW practices at 164 HEMPSTEAD ST, New London, CT 06320.

Quick Facts

NPI
1801593199
Type
Individual
Enumerated
Feb 8, 2023
Last Updated
Jan 6, 2025

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