Individual
PAMELA YORK PENSONEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 CONCORD BLVD., SHAWNEE, OK 74804
(405) 273-9986
Mailing address
2 CONCORD BLVD., SHAWNEE, OK 74804
(405) 273-9986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
6238
OK
Other
Enumeration date
06/26/2013
Last updated
04/06/2023
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