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Individual

PATRICIA M HOTHORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
100 WINNERS CIR N, SUITE 120, BRENTWOOD, TN 37027-5012
(615) 661-5039
(615) 376-9278
Mailing address
915 LAURENS WAY, BRENTWOOD, TN 37027-8740
(615) 661-5039
(615) 376-9278

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149-008935
IL
1041C0700X
Clinical Social Worker
LCS 11605
CA
1041C0700X
Clinical Social Worker
Primary
LSW0000004414
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1514698
TN
Enumeration date
07/31/2009
Last updated
11/27/2012
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