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Individual
MICHELE PATAK-PIETRAFESA
Active
Individual
MICHELE PATAK-PIETRAFESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I.1303088
OH
1041C0700X
Clinical Social Worker
Primary
I.1303088.SUPV
OH
390200000X
Student in an Organized Health Care Education/Training Program
S.0701361-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170531
—
OH
05
—
08258
—
OH
Enumeration date
01/12/2009
Last updated
01/03/2019
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