Individual
MS. PATRICIA LEE MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, BCD
Contact information
Practice address
831 SABALU RD, FORT LEAVENWORTH, KS 66027-2315
(913) 758-9891
Mailing address
831 SABALU RD, FORT LEAVENWORTH, KS 66027-2315
(913) 758-9891
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C011504
NC
Other
Enumeration date
03/07/2016
Last updated
01/22/2024
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