Individual
PATRICIA LENELL MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6615 N 17TH AVE APT 3, PHOENIX, AZ 85015-1332
(480) 559-7742
Mailing address
PO BOX 16906, PHOENIX, AZ 85011-6906
(602) 279-1427
(602) 279-1431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8617177
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8617177
DCS/ OLR
AZ
Enumeration date
05/22/2017
Last updated
05/22/2017
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