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Individual
MS. PATRICIA ANN WALTER
Active
Individual
MS. PATRICIA ANN WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
R0023723
NY
1041C0700X
Clinical Social Worker
Primary
R23723
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0023723
STATE SW LICENSE
NY
01
—
R23723
LICENSE
NY
Enumeration date
10/13/2006
Last updated
11/04/2008
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