License holder summary

MAI PROVENCIO is a Idaho Board Of Social Work Examiners - Licensed Master Social Worker licensed to practice in Idaho. The address on file for MAI PROVENCIO is BOISE ID 83719. This licensed professional license is current. The license was granted 01/21/2010 and expired on 10/06/2015.

Idaho

Division of Occupational and Professional Licenses

MAI PROVENCIO
Idaho Board Of Social Work Examiners - Licensed Master Social Worker
License number
LMSW - 30240
Date granted
01/21/2010
Date expires
10/06/2015
Class
Idaho Board Of Social Work Examiners - Licensed Master Social Worker
Status
Current
Address
BOISE ID 83719
idaholicensing.com
ID 19705747
LAST UPDATED 2024-04-05 02:23:22 UTC

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