Individual
PAMELA ALLCORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 N BUTLER AVE, FARMINGTON, NM 87401-6355
(505) 599-8607
Mailing address
1036 BERTIE LN, BLOOMFIELD, NM 87413-4404
(505) 330-5785
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
B-1097
NM
1041S0200X
School Social Worker
Primary
M-09951
NM
Other
Enumeration date
09/14/2016
Last updated
01/11/2024
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