Individual
GAYLE MARIE PATROLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 689-2569
Mailing address
12 JARVIS AVE, HINGHAM, MA 02043-1312
(781) 740-4639
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1022922
MA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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