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Individual

MRS. PAMELA J CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.W.

Contact information

Practice address
8 MORGAN BLVD, VALPARAISO, IN 46383-4836
(219) 771-4518
Mailing address
4003 SILHAVY RD, VALPARAISO, IN 46383-9146
(219) 771-4518

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001169A
IN

Other

Enumeration date
06/24/2011
Last updated
06/24/2011
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