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Individual
PAMELA G PARKER
Active
Individual
PAMELA G PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I0007575
OH
1041C0700X
Clinical Social Worker
I0007575
OH
2084P0802X
Addiction Psychiatry Physician
F0007575
OH
Other
Enumeration date
04/06/2006
Last updated
01/07/2011
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