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Individual
MR. TIMOTHY MICHAEL PATRICK
Active
Individual
MR. TIMOTHY MICHAEL PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
08/25/2011
Last updated
11/16/2020
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