Individual
MISS PAMELA JEANNE WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
(701) 328-8745
(701) 857-8555
Mailing address
1015 S BROADWAY, SUITE 18, MINOT, ND 58701-4667
(701) 857-8500
(701) 857-8555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3929
ND
171M00000X
Case Manager/Care Coordinator
079317
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054517
—
ND
Enumeration date
12/17/2007
Last updated
07/07/2022
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