Individual
PAMALA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21 5TH ST, JACKSON, TN 38301-7442
(731) 217-2517
Mailing address
256 FRANKLIN STORE RD, LEXINGTON, TN 38351-6370
(731) 217-2517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6308
TN
Other
Enumeration date
05/16/2016
Last updated
11/19/2021
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