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Individual

PATRICK MICHAEL FLYNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
6058 S CHESTNUT ST, SUITE 100, PLATTEVILLE, WI 53818-8947
(608) 342-4863
Mailing address
4590 MARSHA LN, POTOSI, WI 53820-9683
(608) 763-2973

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39220700
WI
Enumeration date
08/15/2006
Last updated
07/08/2007
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