Patricia Staller, LCSW-ACSW
NPI #1124063607 in Iron Mountain, Michigan
Provider Information
- NPI Number
- 1124063607
- Entity Type
- Individual
- Name
- Patricia Staller, LCSW-ACSW
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW-ACSW
- Enumeration Date
- Jun 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 325 E H ST
- City
- Iron Mountain
- State
- Michigan
- ZIP Code
- 49801-4760
- Phone
- (906) 774-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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