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NPI Code Detail

MEDICARE: MRS. SUZANNE R. PATRONE LICSW

MEDICARE: MRS. SUZANNE R. PATRONE LICSW
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 WorkerISW01158RI
21041C0700XClinical Social Worker114589MA

General Provider Information

NPI Number : 1770847386
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUZANNE R. PATRONE LICSW
Provider Business Mailing Address
First Line : 1311 BEDFORD ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02723-2637
Country : US
Telephone Number : 508-567-1477
Fax Number :
Provider Business Practice Location Address
First Line : 1311 BEDFORD ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02723-2637
Country : US
Telephone Number : 508-567-1477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2012
Last Update Date : 09/17/2015

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