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Individual

PAMELA HALL MATHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
702 W EMORY RD, POWELL, TN 37849-4327
(865) 938-1243
Mailing address
702 W EMORY RD, POWELL, TN 37849-4327
(865) 938-1243

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000270
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3691096
TN
Enumeration date
10/20/2005
Last updated
07/08/2007
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