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Individual
PAMELA JEAN THOMPSON
Active
Individual
PAMELA JEAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW 6408
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067L5TH
BCBS MN
MN
01
—
1007124
PREFERRED ONE
MN
05
—
156635100
—
MN
01
—
HFPIN:94954
HEALTH PARTNERS
MN
01
—
THO22688
BCBS ND
ND
Enumeration date
09/22/2006
Last updated
01/13/2014
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