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Individual
MRS. PAMELA ROSE COSPER
Active
Individual
MRS. PAMELA ROSE COSPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018964
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019468810006
—
PA
05
—
1035723800001
—
PA
Enumeration date
05/19/2015
Last updated
02/22/2022
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