Individual
PATRICIA ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 JOHN ST, EVANSVILLE, IN 47713-2746
(812) 491-1805
Mailing address
815 JOHN ST, EVANSVILLE, IN 47713-2746
(812) 491-1805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007573A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20037720A
—
IN
Enumeration date
08/31/2016
Last updated
08/31/2016
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