Individual
MRS. PAMELA PEVE ALFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
515 S DEWEY ST, MARYVILLE, MO 64468-2870
(660) 582-6470
(660) 582-4271
Mailing address
515 S DEWEY ST, MARYVILLE, MO 64468-2870
(660) 582-6470
(660) 582-4271
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW002820
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1158000
COMMUNITY HEALTH PLAN
MO
01
—
23115011
BLUE CROSS & BLUE SHIELD
MO
Enumeration date
10/28/2006
Last updated
07/09/2007
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