Individual
MS. MARY MARGARET PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCSW
Contact information
Practice address
705 EAST TIMBER DRIVE, PO 897, 21B S. BROWN STREET, RHINELANDER, WI 54501
(715) 362-7463
(715) 369-4577
Mailing address
123 NORTH BAIRD AVENUE, RHINELANDER, WI 54501
(715) 362-7463
(715) 369-4577
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2170-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39193600
—
WI
Enumeration date
09/29/2006
Last updated
07/09/2007
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