Individual
KATHERINE J. PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2318 ELLEN DR, LAFAYETTE, IN 47909-2330
(765) 474-7121
Mailing address
2318 ELLEN DR, LAFAYETTE, IN 47909-2330
(765) 474-7121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34005379A
IN
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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