Individual
PAMELA PATRICE KEYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
901 N 1ST ST STE 225, SPRINGFIELD, IL 62702-3760
(217) 788-4065
(217) 788-4147
Mailing address
901 N 1ST ST STE 225, SPRINGFIELD, IL 62702-3760
(217) 788-4065
(217) 788-4147
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150110910
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150110910
LSW LICENSE
IL
Enumeration date
09/13/2024
Last updated
09/13/2024
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