Rosa Isela Patino, LCSW
Social Worker, Clinical in Munster, IN. Individual provider (NPI-1).
NPI number1942085196
StatusActive
Last updated in NPPESSep 21, 2023
Details
- NPI
- 1942085196
- Entity type
- Individual (NPI-1)
- Name
- Ms. Rosa Isela Patino
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2023
- Certification date
- Sep 21, 2023
- Last updated
- Sep 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 34010615A | IN | Yes |
Practice location
9250 Columbia Ave Ste 2eMunster, IN 46321-3530
Phone 219-595-0043
Mailing address
9250 Columbia Ave Ste 2eMunster, IN 46321-3530
Phone 219-595-0043
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