Individual
BARBARA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
523 DIXIE ST, CARROLLTON, GA 30117-3870
(770) 489-6057
Mailing address
3875 POOL RD, WINSTON, GA 30187-1009
(770) 489-6057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01402
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01402
LCSW LICENSE #
GA
Enumeration date
11/13/2021
Last updated
11/13/2021
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