Individual
MITCHELL PATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 EASTERN AVE, MALDEN, MA 02148-5906
(617) 401-5583
Mailing address
75 WOLCOTT ST, MALDEN, MA 02148-2841
(617) 401-5583
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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