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Individual

PAMELA GAIL TUMLINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCDC

Contact information

Practice address
11908 SPARKS RD, MANOR, TX 78653-3506
(512) 843-7629
Mailing address
11908 SPARKS RD, MANOR, TX 78653-3506

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14894
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14894
LCDC LICENSE
TX
Enumeration date
06/03/2019
Last updated
06/11/2019
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