Individual
MS. JESSICA LEE PATNODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
55 DIMOCK ST, ROXBURY, MA 02119-1029
(617) 442-8800
Mailing address
352 RIVERWAY, APT 5, BOSTON, MA 02115-6421
(617) 913-2559
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
213564
MA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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