Individual
MS. PAMELA ANN GOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 CLYDE LN, BELLA VISTA, AR 72715-4312
(901) 604-1057
Mailing address
5 CLYDE LN, BELLA VISTA, AR 72715-4312
(901) 604-1057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1115
TN
1041C0700X
Clinical Social Worker
Primary
1528-C
AR
Other
Enumeration date
07/26/2006
Last updated
07/27/2023
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