Individual
MRS. CONNIE RISEN PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
18084 GODDARD ST, BUCYRUS, KS 66013-9083
(910) 736-1992
Mailing address
18084 GODDARD ST, BUCYRUS, KS 66013-9083
(910) 736-1992
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
24636
CA
235Z00000X
Speech-Language Pathologist
Primary
3967
KS
235Z00000X
Speech-Language Pathologist
9680
NC
Other
Enumeration date
09/20/2012
Last updated
06/03/2024
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