Individual
MR. PATRICK JAMES SHINNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, ACSW, NCAC 1
Contact information
Practice address
142 OAK GREEN DR, LAWRENCEVILLE, GA 30044-8703
(678) 377-0033
Mailing address
142 OAK GREEN DR, LAWRENCEVILLE, GA 30044-8703
(678) 377-0033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002639
GA
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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