Provider Information for 1801264981
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PATRICIA WORNUM LMHC
Sex: Female
NPI: 1801264981
Last Updated: 2022-10-13
Certification Date: 2022-10-13
Certification Date: 2022-10-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1801264981 | ||||||||
| Enumeration Date | 2015-09-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 38 POND ST STE 101 FRANKLIN, MA 02038-3822 United States Phone: 857-294-6744 | Fax: | ||||||||
| Primary Practice Address | 10 MEADOWBROOK RD BROCKTON, MA 02301-7122 United States Phone: 857-294-6744 | Fax: | ||||||||
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