GINA PATOVISTI

RACINE, WI
NPI1154662021
Former NameGINA ROELAND
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  7915-123)
Enumeration Date2013-03-01
Last Update Date2013-08-02
Business Address
-- GINA PATOVISTI LCSW
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-638-6673
Mailing Address
-- GINA PATOVISTI LCSW
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-638-6673