Individual
MRS. PAMELA P. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-CP
Contact information
Practice address
49 WESTBURY PARK WAY, BLUFFTON, SC 29910-8824
(843) 422-1408
(843) 815-2023
Mailing address
49 WESTBURY PARK WAY, BLUFFTON, SC 29910-8824
(843) 422-1408
(843) 815-2023
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10335
SC
1041C0700X
Clinical Social Worker
1055
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q48906E270
MEDICARE PTAN
SC
Enumeration date
06/28/2006
Last updated
08/23/2016
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