License holder summary

Mary Anita Provence is a Clinical Social Worker licensed to practice in Indiana. The address on file for Mary Anita Provence is Indianapolis IN 46205. This licensed professional license is current. The license was granted 02/03/1999 and expired on 04/01/2016.

Indiana

Professional Licensing Agency

Mary Anita Provence
Clinical Social Worker
License number
34003940A
Date granted
02/03/1999
Date expires
04/01/2016
Class
Clinical Social Worker
Status
Active
Address
Indianapolis IN 46205
indianalicensing.org
ID 1885111
LAST UPDATED 2024-02-29 14:41:29 UTC

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