Individual
PATRICIA SECOY FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9962 LIN FERRY DR, SAINT LOUIS, MO 63123-6974
(626) 888-1112
Mailing address
445 E LANGSNER ST, ENGLEWOOD, FL 34223-3454
(314) 974-7347
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2006016250
MO
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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