Individual
PATRICIA A FASANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2710 TRADITIONS DR, KILLEEN, TX 76549-5888
(254) 368-8600
Mailing address
2710 TRADITIONS DR, KILLEEN, TX 76549-5888
(254) 368-8600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
65785
TX
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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