Individual
MS. PAMELA SUE MELLOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
625 COURT ST, SIOUX CITY, IA 51101-1919
(171) 225-2387
Mailing address
625 COURT ST, SIOUX CITY, IA 51101-1919
(171) 225-2387
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6738
IA
101YM0800X
Mental Health Counselor
7995
NE
1041C0700X
Clinical Social Worker
Primary
06738
IA
Other
Enumeration date
12/17/2008
Last updated
02/16/2023
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