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Organization
PAMELA ANDERSON LCSW LLC
Active
Organization
PAMELA ANDERSON LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELENIE SNYDER (BILLING AGENT)
(970) 628-4562
Entity
Organization
Contact information
Practice address
2501 BLICHMAN AVE STE 117, GRAND JUNCTION, CO 81505-1031
(970) 644-2950
Mailing address
383 ROSEMARY WAY, GRAND JUNCTION, CO 81501-4452
(970) 644-2950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00000661
CO
Other
Enumeration date
05/27/2018
Last updated
10/18/2018
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