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Contact Information

JAE J PATE, LCSW
340 MAGNOLIA CIRCLE
325 MDOS/SGOHSF
TYNDALL AFB, FL32404
 Phone: 850-283-7511
 Fax: 850-283-7721
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JAE J PATE · (Female)

NPI # 1356315600
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 02/14/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 0002390
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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