Individual
PATRICIA A DESJARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
711 N BRIDGE STREET, ROOM 122, CHIPPEWA FALLS, WI 54729-1876
(715) 726-7788
(715) 726-4560
Mailing address
711 N BRIDGE STREET, ROOM 122, CHIPPEWA FALLS, WI 54729-1876
(715) 726-7788
(715) 726-4560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1173123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39637400
—
WI
01
—
54173
SECURITY HEALTH
WI
Enumeration date
11/17/2006
Last updated
07/08/2007
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