Individual
PAMELA A DJAKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1131 AIRPORT RD, MILFORD, DE 19963-6418
(302) 422-8026
(302) 422-0701
Mailing address
1131 AIRPORT RD, MILFORD, DE 19963-6418
(302) 422-8026
(302) 422-0701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q10000500
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000022282
—
DE
Enumeration date
01/03/2007
Last updated
07/08/2007
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