Individual
MARLENE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
109 MEDICAL PARK DR STE C, ANDALUSIA, AL 36420-5364
(342) 221-8183
(334) 222-1919
Mailing address
614 W BYPASS, ANDALUSIA, AL 36420-4731
(334) 222-3555
(334) 427-9522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4624G
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4624G
STATE LICSENSE
AL
Enumeration date
01/08/2019
Last updated
01/08/2019
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