Basic Information
| Provider Information | |||||||||
| NPI: | 1851670723 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COTTON | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 32220 SHOREWOOD RD | ||||||||
| Address2: | |||||||||
| City: | GALENA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 216351817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3023832382 | ||||||||
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| Practice Location | |||||||||
| Address1: | 122 SILVER LAKE RD | ||||||||
| Address2: | |||||||||
| City: | MIDDLETOWN | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197091225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3023785775 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2011 | ||||||||
| LastUpdateDate: | 02/03/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | Q1-0000232 | DE | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.