Provident
Social Service Agency
Unclaimed profile
Specialties and Licenses
- Specialties
- Social Service Agency
- Licensed In
- Missouri
- NPI Number
- 1104924745
- In the National Registry
- 20 years (since 2006)
- Authorized Official
- Maria Watkins, COUNSELOR
Name, specialties, licenses and address come from the NPPES national provider registry, updated weekly (this record last changed August 2020).