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Individual

PATRICIA CONOLLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1532 SAVANNAH RD # A, LEWES, DE 19958-1624
(302) 268-8692
Mailing address
PO BOX 972, BROOMALL, PA 19008-0972

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0010521
DE

Other

Enumeration date
12/27/2023
Last updated
12/27/2023
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