Individual
PAMELA CONNELLY-CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA/BS
Contact information
Practice address
2180 E MOWREY RD, COLUMBIA CITY, IN 46725-7611
(260) 705-7513
Mailing address
2180 E MOWREY RD, COLUMBIA CITY, IN 46725-7611
(260) 705-7513
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201037870A
MEDICAID LPI
IN
Enumeration date
11/03/2014
Last updated
11/03/2014
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