Individual
MARY BETH PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
521 PFAU ST, MANKATO, MN 56001
(507) 344-0621
Mailing address
825 S FRONT ST, MANKATO, MN 56001-2402
(507) 344-0621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21259
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21259
BOARD OF SOCIAL WORK
MN
Enumeration date
03/27/2007
Last updated
01/29/2019
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