Individual
MRS. PATRICIA M THORN KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 SAW MILL RD, STE 3103, LAFAYETTE, IN 47905-5592
(765) 414-8227
Mailing address
2493 GALA DR, WEST LAFAYETTE, IN 47906-4839
(765) 414-8227
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003983
IN
Other
Enumeration date
09/20/2006
Last updated
12/22/2014
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