Individual
MR. DAVID LELAND PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
611 NW YATES LOOP, LAKE CITY, FL 32055-7101
(406) 461-1656
(406) 791-9629
Mailing address
611 NW YATES LOOP, LAKE CITY, FL 32055-7101
(406) 461-1656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-16518
MT
Other
Enumeration date
03/23/2016
Last updated
10/15/2024
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