Jennifer Patrick, Lcsw, Limited

NPI #1316247265 in Fulton, Missouri

Provider Information

NPI Number: 1316247265
Entity Type: Organization
Organization Name: Jennifer Patrick, Lcsw, Limited
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 26, 2010
Last Updated: Nov 5, 2010

Practice Location

Address: 2625 FAIRWAY DR
Address 2: STE. A
City: Fulton
State: Missouri
ZIP Code: 65251-4023
Phone: (573) 642-2102

Authorized Official

Name: MRS. JENNIFER MICHELE PATRICK, LCSW
Title: SOLE-PROPRIETOR
Phone: (573) 642-2102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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