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Individual

MRS. PAMELA M BERTOLINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
Mailing address
2781 KIPLING RD, FUQUAY VARINA, NC 27526-6169
(919) 586-1002
(919) 557-1018

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1018776
MA
1041C0700X
Clinical Social Worker
Primary
2750
NH
1041C0700X
Clinical Social Worker
C005646
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6106621
NC
Enumeration date
03/30/2007
Last updated
06/30/2023
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