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Individual
PATRICE LANAE PICKETT
Active
Individual
PATRICE LANAE PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
97451
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/10/2019
Last updated
07/03/2023
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