Sista Paddock, MSW

NPI #1972633386 in Winslow, Arizona

Provider Information

NPI Number: 1972633386
Entity Type: Individual
Name: Sista Paddock, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: Mar 6, 2007
Last Updated: Nov 7, 2007

Practice Location

Address: 500 INDIANA AVE
City: Winslow
State: Arizona
ZIP Code: 86047-2169
Phone: (928) 289-4646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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