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Individual

MS. PAMELA KAY RUSCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
100 S BLISS AVENUE, CHEROKEE NATION BEHAVIORAL HEALTH, TAHLEQUAH, OK 74464
(918) 458-3170
(918) 458-3610
Mailing address
100 S BLISS AVENUE, CHEROKEE NATION BEHAVIORAL HEALTH, TAHLEQUAH, OK 74464
(918) 458-3170
(918) 458-3610

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008
OK

Other

Enumeration date
03/14/2008
Last updated
03/14/2008
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