Individual
ILEAN PAMELA MCCARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2417 HOBBS RD STE 105, AMARILLO, TX 79109-1533
(806) 410-0558
Mailing address
PO BOX 1347, CANYON, TX 79015-1347
(806) 410-0558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
64671
TX
Other
Enumeration date
07/21/2021
Last updated
06/07/2023
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