Individual
PAMELA A HOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA
Contact information
Practice address
2565 JUDGE FRAN JAMIESON WAY, MELBOURNE, FL 32940-5998
(321) 634-3688
(321) 504-0955
Mailing address
886 BRUNSWICK LN, ROCKLEDGE, FL 32955-4023
(321) 639-3275
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764975400
—
FL
Enumeration date
07/26/2006
Last updated
07/28/2009
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