About Beth Provost
She is located at 1060a Lowell Dr, , in Oconomowoc, WI 53066. Appointment can be made via the phone number (262) 443-7917.
Beth Provost - Address, Phone & Website
1060a Lowell Dr, , Oconomowoc, WI 53066
(262) 443-7917
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Clinical Social Worker | 1041C0700X |
| No | Social Worker | 104100000X |
| No | Case Manager/Care Coordinator | 171M00000X |
Licenses
| State | License Number |
|---|---|
| Wisconsin | 11953-123 |
| Iowa | 115179 |
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