PATTI J LICONA CSW

Dr PATTI J LICONA CSW is a female medical professional, specializing in Clinical Social Worker. She graduated in 1991.

Contact

95 BAYSHORE DR
INGLESIDE
TX
783624828

Tel: 3617750270

PATTI J LICONA CSW Information

Npi 1730296468
Pac Id 5991710600
Professional Enrollment Id I20060217000114
Last Name LICONA
First Name PATTI
Middle Name J
Suffix
Gender F
Credential CSW
Medical School Name OTHER
Graduation Year 1991
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 95 BAYSHORE DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City INGLESIDE
State TX
Zip Code 783624828
Phone Number 3617750270
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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