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Individual
MS. PAMELA J PATER-ENNIS
Active
Individual
MS. PAMELA J PATER-ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,M.DIV., PHD
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
44SC05339100
NJ
1041C0700X
Clinical Social Worker
R042224-1
NY
Other
Enumeration date
03/14/2007
Last updated
12/18/2019
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