Provider Demographics
NPI:1447418074
Name:NOBLE, PATRICIA G (MSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:G
Last Name:NOBLE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 W WINDY RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65803-7592
Mailing Address - Country:US
Mailing Address - Phone:417-833-1841
Mailing Address - Fax:417-833-2916
Practice Address - Street 1:1060 W WINDY RIDGE LN
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65803-7592
Practice Address - Country:US
Practice Address - Phone:417-833-1841
Practice Address - Fax:417-833-2916
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0032271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical