Individual
PATRICIA MARIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
608 16TH AVE N STE G, MYRTLE BEACH, SC 29577-3537
(843) 501-1099
Mailing address
968 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 330-6000
(203) 330-6008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
008556
CT
1041C0700X
Clinical Social Worker
Primary
15060
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236148
—
CT
Enumeration date
03/25/2014
Last updated
10/13/2025
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