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Individual
MR. PATRICK MICHAEL CONDO
Active
Individual
MR. PATRICK MICHAEL CONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CW000227L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110268
VALUEOPTIONS
PA
01
—
4603776
AETNA
PA
01
—
633827
HIGHMARK
PA
Enumeration date
12/19/2006
Last updated
07/08/2007
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