Individual
MISS PATRICIA PASSUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1328 PEACHTREE ST NE, ATLANTA, GA 30309-3209
(404) 228-7766
Mailing address
1328 PEACHTREE ST NE, ATLANTA, GA 30309-3209
(732) 309-4846
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW-07167
GA
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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