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Individual
PAMELA JEAN PULVER
Active
Individual
PAMELA JEAN PULVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60865736
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
447750381
U.S. PASSPORT
—
01
—
PULVERPJ541Q8
DRIVER'S LICENSE
WA
Enumeration date
06/02/2018
Last updated
06/02/2018
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