Individual
MRS. PATRICIA J BALDUCCI
Active
Individual
MRS. PATRICIA J BALDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
03640
MD
1041C0700X
Clinical Social Worker
Primary
Q1-0001330
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100026715001
APS
MD
01
—
KC83K1
BLUE CROSS BLUE SHIELD
MD
01
—
T460
BLUE CHOICE
MD
Enumeration date
12/08/2006
Last updated
09/19/2019
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