Individual
MS. PAMELA IRENE BALLEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 587-5805
Mailing address
118 BRIARMEADOW ST., FARMINGTON, AR 72730
(479) 267-0901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2230-C
AR
Other
Enumeration date
08/29/2006
Last updated
04/29/2008
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