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Individual
PATRICIA A. FENNELL
Active
Individual
PATRICIA A. FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
031651
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01938458
—
NY
Enumeration date
03/12/2007
Last updated
11/29/2011
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