Individual
SAMANTHA TAYLOR PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7049 PERSHING AVE, SAINT LOUIS, MO 63130-4319
(314) 706-1842
Mailing address
306 N KENSINGTON AVE, LA GRANGE PARK, IL 60526-1870
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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