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NPI Code Detail

MEDICARE: JOLEEN LINDA PATANE LCSW

MEDICARE: JOLEEN LINDA PATANE 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 WorkerSW 2389FL

General Provider Information

NPI Number : 1063660959
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOLEEN LINDA PATANE LCSW
Provider Business Mailing Address
First Line : PO BOX 428
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34656-0428
Country : US
Telephone Number : 727-841-4200
Fax Number : 727-841-4354
Provider Business Practice Location Address
First Line : 7074 GROVE RD
Second Line :
City : BROOKSVILLE
State : FL
Zip : 34609-8658
Country : US
Telephone Number : 352-540-9335
Fax Number : 352-544-0722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2008
Last Update Date : 09/04/2008

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Directions to “ JOLEEN LINDA PATANE LCSW” Practice Location

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