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Organization

PAMELA H PAIGE, LCSW

Active
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Organization

PAMELA H PAIGE, LCSW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAMELA PAIGE MSW LCSW (PRIVATE PRACTICE)
(310) 395-0454
Entity
Organization

Contact information

Practice address
1460 7TH ST, 301, SANTA MONICA, CA 90401-2629
(310) 395-0454
Mailing address
1460 7TH ST, 301, SANTA MONICA, CA 90401-2629
(310) 395-0454

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS5573
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LCS5573
PRIVATE PRACTICE
CA
Enumeration date
08/07/2015
Last updated
08/07/2015
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