Individual
MARY PATRIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
280 DAVID L GOLDFEIN ST BLDG 23, HOLLOMAN AFB, NM 88330-8273
(575) 800-4205
Mailing address
280 DAVID L GOLDFEIN ST BLDG 23, HOLLOMAN AFB, NM 88330-8273
(575) 430-3437
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5852
ME
Other
Enumeration date
01/11/2007
Last updated
04/17/2025
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