Individual
PATRICK ADZADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, M.ED
Contact information
Practice address
410 N RAMUNNO DR UNIT 1203, MIDDLETOWN, DE 19709-3005
(302) 602-1655
Mailing address
410 N RAMUNNO DR, UNIT # 1203, MIDDLETOWN, DE 19709-3003
(302) 602-1655
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103K00000X
—
PA
05
—
1041S0200X
—
PA
Enumeration date
03/06/2014
Last updated
03/06/2014
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