Individual
PATRICE EARLY
Active
Individual
PATRICE EARLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
GACSW008424
GA
1041C0700X
Clinical Social Worker
6801117977
MI
1041C0700X
Clinical Social Worker
9236
TN
1041C0700X
Clinical Social Worker
Primary
CSW008424
GA
Other
Enumeration date
03/06/2023
Last updated
12/30/2024
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