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Individual
MR. DAVID ALLEN PATTEN
Active
Individual
MR. DAVID ALLEN PATTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC20990
AZ
171W00000X
Contractor
Primary
3939
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699881490
THERAPEUTIC FOSTER CARE
AZ
01
—
LAC20990
AZBBHE LICENSE NUMBER
AZ
Enumeration date
08/22/2006
Last updated
09/16/2026
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