Individual
PAMELA STANTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA MSW LCSW
Contact information
Practice address
160 BEACHWOOD AVE, PAWPUCKET, RI 02860
(401) 722-5573
(401) 726-5571
Mailing address
249 ROOSEVELT AVENUE, SUITE 205 GATWAY HEALTHCARE INC, PAWTUCKET, RI 02860
(401) 724-8400
(401) 365-1100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW00934
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS54564
—
RI
Enumeration date
05/17/2006
Last updated
07/08/2007
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