Individual
BEATRIZ C PATINO-SHERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
855 SOMERSET AVE, LAKEWOOD, NJ 08701-2195
(732) 905-3500
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06844500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
09/12/2022
Last updated
09/12/2022
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