Individual
PATRICIA ANN ERWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
340 KELLEY PKWY, MEXICO, MO 65265-3811
(573) 582-1234
Mailing address
340 KELLEY PKWY, MEXICO, MO 65265-3811
(573) 582-1234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002480
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493412928
—
MO
Enumeration date
12/15/2006
Last updated
05/24/2022
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