Individual
PATTI SUE CHRISTENSEN
Active
Individual
PATTI SUE CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
006811
IL
1041C0700X
Clinical Social Worker
Primary
05591
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006811
LCSW
ID
01
—
05591
LISW
IA
Enumeration date
01/16/2007
Last updated
07/08/2007
Update your record
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