Individual
PAMALA WHITE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
345 RIVERVIEW ST, SUITE LL2, WICHITA, KS 67203-4200
(316) 262-5253
(316) 262-7202
Mailing address
345 RIVERVIEW ST, SUITE LL2, WICHITA, KS 67203-4200
(316) 262-5253
(316) 262-7202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2446
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070337
BCBS
KS
Enumeration date
09/19/2005
Last updated
07/08/2007
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