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Individual
MRS. PAMELA LAWRENCE
Active
Individual
MRS. PAMELA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801083144
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0996908
HEALTHPLUS
MI
01
—
382143740
TAX ID
MI
05
—
730195
—
MI
01
—
800G36205
BCBS
MI
Enumeration date
11/02/2006
Last updated
12/05/2012
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