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Organization

PATRICIA TIRONE, LCSW, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA TIRONE LCSW, BCD (SOLEPROPIETOR)
(239) 913-6552
Entity
Organization

Contact information

Practice address
3333 RENAISSANCE BLVD STE 222, BONITA SPRINGS, FL 34134-7008
(239) 913-6551
(239) 913-6555
Mailing address
3333 RENAISSANCE BLVD STE 222, BONITA SPRINGS, FL 34134-7008
(239) 913-6552
(239) 913-6555

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW10864
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5221329
AETNA
NY
01
7401828
VALUEOPTIONS
NY
Enumeration date
10/17/2014
Last updated
08/30/2020
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