Individual
JIMMY WAYNE PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 248-4180
(602) 248-4182
Mailing address
3347 W LA SALLE ST, PHOENIX, AZ 85041-3492
(602) 795-1820
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0435
OK
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
About Stedi
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