Individual
PAMELA CAROL DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6021 S KINGS RANCH RD, 6D, GOLD CANYON, AZ 85218-4774
(480) 258-2915
(480) 888-0231
Mailing address
PO BOX 1598, QUEEN CREEK, AZ 85242-1598
(480) 258-2915
(480) 888-0231
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-2854
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
752586
—
AZ
Enumeration date
11/01/2006
Last updated
07/08/2007
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