Provider Demographics
NPI:1760536932
Name:DODSON, PATRICIA CAROL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:CAROL
Last Name:DODSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6851
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79608-6851
Mailing Address - Country:US
Mailing Address - Phone:325-829-3005
Mailing Address - Fax:325-673-1794
Practice Address - Street 1:3225 NONESUCH RD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-1921
Practice Address - Country:US
Practice Address - Phone:325-829-3005
Practice Address - Fax:325-673-1794
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX167801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical