Individual
MS. KRISTAN ANN PATTERSON-FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
(509) 525-5200
(509) 527-6112
Mailing address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
(509) 525-5200
(509) 527-6112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009423
WA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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