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Individual
MRS. PATRICIA MARIE WILKINS-VACCA
Active
Individual
MRS. PATRICIA MARIE WILKINS-VACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
069452
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02469689
—
NY
01
—
781305
MVP PROVIDER #
NY
01
—
P2586785
OXFORD PROVIDER #
NY
Enumeration date
12/16/2005
Last updated
12/09/2014
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