Individual
PATTI SUE CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LISW
Contact information
Practice address
805 W 35TH ST STE 100, DAVENPORT, IA 52806-5807
(563) 445-0557
(563) 445-1604
Mailing address
3830 E 61ST BLVD, DAVENPORT, IA 52807-2972
(563) 344-8789
(563) 445-1604
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
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