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Individual

MS. MICHELLE L PATTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1554 S SCHEUBER RD, CENTRALIA, WA 98531-8817
(360) 951-6607
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9560

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RC00039016
WA
1041C0700X
Clinical Social Worker
Primary
LW00009730
WA
1041C0700X
Clinical Social Worker
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2064309
WA
Enumeration date
08/25/2008
Last updated
12/30/2024
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