Individual
MRS. PATRICIA LYNN DESROCHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7080 SW FIR LOOP STE 100, TIGARD, OR 97223-8149
(503) 620-1191
Mailing address
35811 NE LEWISVILLE HWY, YACOLT, WA 98675-4000
(360) 601-5364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005954
WA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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