| NPI | 1790264026 |
|---|---|
| Former Name | KELLEE D PATTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021001168) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2018020044) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2018020044) | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2021-01-19 |