Individual
MS. DIANA ALTHEA PATTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
FT BENNING ASAP, 7950 MARTIN LOOP, FT BENNING, GA 31905-0000
(706) 545-8371
Mailing address
PO BOX 53695, FORT BENNING, GA 31995-3695
(706) 507-4762
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SW3846
FL
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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