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Individual
PAMELA S CALDWELL
Active
Individual
PAMELA S CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002195
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186612
ANTHEM PROVIDER NUMBER
—
01
—
203639329015
TRICARE PROVIDER NUMBER
—
01
—
O80304M
SENTARA/OPTIMA PROVIDER N
—
Enumeration date
08/11/2005
Last updated
07/08/2007
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