Individual
PHYLLIS DENISE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 E STATE BLVD, FORT WAYNE, IN 46805-3458
(260) 482-9125
(260) 481-2700
Mailing address
909 E STATE BLVD, FORT WAYNE, IN 46805-3458
(260) 482-9125
(260) 481-2700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
07/28/2020
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