| Laurita Marie Provancal, LCSW | |
|
1900 Ogden Ave Ste 106, Aurora, IL 60504-4284 | |
| (630) 256-8007 | |
| Not Available |
| Full Name | Laurita Marie Provancal |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1900 Ogden Ave Ste 106, Aurora, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427710888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149002677 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Laurita Marie Provancal, LCSW 1900 Ogden Ave Ste 106, Aurora, IL 60504-4284 Ph: (630) 256-8007 | Laurita Marie Provancal, LCSW 1900 Ogden Ave Ste 106, Aurora, IL 60504-4284 Ph: (630) 256-8007 |
Samuel James Ligon, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2285 Sequoia Dr, Aurora, IL 60506 Phone: 630-906-5120 | |
Carla Poindexter, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1230 N Highland Ave, Aurora, IL 60506 Phone: 630-859-1291 | |
Megan J. Schaaf, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2330 W Galena Blvd, Aurora, IL 60506 Phone: 630-896-4686 | |
Amy Chally, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1230 N Highland Ave, Aurora, IL 60506 Phone: 630-859-1291 | |
Amy L Coleman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1256 Waterford Dr, Suite 140, Aurora, IL 60504 Phone: 630-898-5322 Fax: 630-898-5322 | |
Jennifer Letcher, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 S River St, Aurora, IL 60506 Phone: 630-844-2662 Fax: 630-844-3084 | |
Carrie Beth Summers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4100 Healthway Dr, Aurora, IL 60504 Phone: 630-851-3105 |