MS. Patti J Licona, LCSW

NPI #1730296468 in Ingleside, Texas

Provider Information

NPI Number
1730296468
Entity Type
Individual
Name
MS. Patti J Licona, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2063 LA QUINTA DR
State
Texas
ZIP Code
78362-4301
Phone
(361) 775-0270

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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