Individual
SANDRA S. PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCSW, ACSW
Contact information
Practice address
9127 TETON COURT, ROGERS, AR 72756
(479) 925-3400
(479) 925-3133
Mailing address
9127 TETON COURT, ROGERS, AR 72756
(479) 925-3400
(479) 925-3133
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C-907
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041018
MHN
—
Enumeration date
08/23/2006
Last updated
02/16/2010
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