Pennsylvania
Department of State
STACEY MARIE PROVIANO
Clinical Social Worker
License number
CW013835
Date granted
02/07/2003
Date expires
02/28/2007
Class
Clinical Social Worker
Status
Inactive
Address
Gibsonia PA 15044
palicensing.org
ID 17664396
LAST UPDATED 2024-05-14 11:47:04 UTC
LAST UPDATED 2024-05-14 11:47:04 UTC
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