Patricia Rena Dejesus
Social Worker, Clinical in Middletown, NY. Individual provider (NPI-1).
NPI number1083217954
StatusActive
Last updated in NPPESAug 30, 2021
Details
- NPI
- 1083217954
- Entity type
- Individual (NPI-1)
- Name
- Patricia Rena Dejesus
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2020
- Certification date
- Aug 30, 2021
- Last updated
- Aug 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 085061 | NY | Yes |
Practice location
29 Dogwood DrMiddletown, NY 10940-1801
Phone 845-341-8008
Mailing address
29 Dogwood DrMiddletown, NY 10940-1801
Phone 845-341-8008
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