Individual
PAMELA RENEE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7801 53RD AVE W, LAKEWOOD, WA 98499-7974
(253) 370-5154
Mailing address
7918 53RD AVE W, LAKEWOOD, WA 98499-7977
(253) 370-5154
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LW60074500
WA
104100000X
Social Worker
Primary
LW60074500
WA
Other
Enumeration date
05/09/2022
Last updated
10/25/2022
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