Individual
MS. SUSAN MARIE PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW,LMSW
Contact information
Practice address
12110 45TH RD SE, AGENCY, MO 64401-8104
(919) 394-5317
(913) 381-3307
Mailing address
12110 45TH RD SE, AGENCY, MO 64401-8104
(919) 394-5317
(913) 381-3307
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7505
KS
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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