Individual
ANGELA PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 ROCKY BRANNCH RD, FARMERVILLE, LA 71241
(318) 805-6028
Mailing address
311 ROCKY BRANNCH RD, FARMERVILLE, LA 71241
(318) 805-6028
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272668290
BEHAVIOR HEALTH
LA
Enumeration date
10/13/2016
Last updated
01/07/2019
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