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Individual
PAMELA FULTON SALAAM
Active
Individual
PAMELA FULTON SALAAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270291
COMPSYCH
TX
01
—
370977
MHN
TX
01
—
50MX
BLUE CROSS BLUE SHIELD
TX
01
—
SALAPAME
CORPHEALTH
TX
Enumeration date
10/19/2006
Last updated
07/08/2007
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