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NPI Code Detail

MEDICARE: LAURIE PATTERSON LCSW

MEDICARE:   LAURIE  PATTERSON  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCW014875PA

General Provider Information

NPI Number : 1043313299
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE PATTERSON LCSW
Provider Business Mailing Address
First Line : 8600 W CHESTER PIKE
Second Line : STE 108
City : UPPER DARBY
State : PA
Zip : 19082-2629
Country : US
Telephone Number : 610-209-2837
Fax Number :
Provider Business Practice Location Address
First Line : 8600 W CHESTER PIKE
Second Line : SUITE 108
City : UPPER DARBY
State : PA
Zip : 19082-2629
Country : US
Telephone Number : 610-387-6056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 03/18/2017

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Directions to “ LAURIE PATTERSON LCSW” Practice Location

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