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Individual
PATRICIA SUSAN LANE-PENNIMPEDE
Active
Individual
PATRICIA SUSAN LANE-PENNIMPEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L-CSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L-026551-R
NY
Other
Enumeration date
01/26/2007
Last updated
02/29/2008
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