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Individual
PAMELA SHELDON
Active
Individual
PAMELA SHELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1811396005
GA
1041C0700X
Clinical Social Worker
Primary
CSW004752
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811396005
LICSW
GA
05
—
1811396005
—
GA
Enumeration date
08/14/2014
Last updated
09/24/2018
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