Individual
PATTRA FARTHING DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1901 S 25TH ST, SUITE 103, FORT PIERCE, FL 34947-4711
(772) 595-5150
(772) 595-6560
Mailing address
1901 S 25TH ST, SUITE 103, FORT PIERCE, FL 34947-4711
(772) 595-5150
(772) 595-6560
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/31/2012
Last updated
01/25/2014
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