Individual
PAMELA P SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 431-7111
(423) 431-7092
Mailing address
2300 PAVILION DR, KINGSPORT, TN 37660-4622
(423) 857-5711
(423) 857-5237
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
291
TN
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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