Patrice Cisco is a Clinical in Mason, Michigan. Patrice Cisco practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patrice Cisco is 1831388586. The last update date is 2014-02-14.
Patrice Cisco's current location address is 585 Jewett Rd, Mason, Michigan. You can contact this provider via phone number 5176765405. The mailing address for Patrice Cisco is 585 Jewett Rd, Mason, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrice Cisco |
|---|---|
| Address | 585 Jewett Rd, Mason, Michigan |
| Phone Number | 5176765405 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1831388586 |
|---|---|
| Provider Enumeration Date | 2007-10-18 |
| Last Updated Date | 2014-02-14 |
Provider Mailing Address Detail
| Address | 585 Jewett Rd |
|---|---|
| City | Mason |
| State | Michigan (MI) |
| Post Code | 488548729 |
| Phone Number | 5176765405 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Patrice Cisco's 1831388586?
The Patrice Cisco's NPI (National Provider Identifier) Number is 1831388586. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Patrice Cisco?
The Patrice Cisco is physically situated at 585 Jewett Rd, in the city of Mason, state of MI, with the postal code 488548729.
What is Patrice Cisco's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Patrice Cisco is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did the Patrice Cisco receive its 1831388586?
The Patrice Cisco was issued its 1831388586 on 2007-10-18, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Patrice Cisco most recently updated or revised?
The information pertaining to Patrice Cisco, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-14.
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