Individual
MISS PAMELA COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
(601) 981-2016
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
(601) 981-2016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M7639
MS
171M00000X
Case Manager/Care Coordinator
M7639
MS
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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