Individual
PENNI L PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 E CHERRY AVE, SUITE 202, FLAGSTAFF, AZ 86001-4699
(928) 779-7166
(928) 779-2595
Mailing address
800 W UNIVERSITY HEIGHTS DR S, FLAGSTAFF, AZ 86001-8973
(928) 213-9833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3490
AZ
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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