Provider Demographics
NPI:1730492091
Name:DE LEON-PRIETO, PATTI MUN (LCSW)
Entity Type:Individual
Prefix:
First Name:PATTI
Middle Name:MUN
Last Name:DE LEON-PRIETO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 AMOS POLLARD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-5078
Mailing Address - Country:US
Mailing Address - Phone:210-570-6407
Mailing Address - Fax:
Practice Address - Street 1:4210 AMOS POLLARD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-5078
Practice Address - Country:US
Practice Address - Phone:210-570-6407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52472104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker