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Individual

PAM P SORI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2200 LAKESHORE DR, SUITE #150, BIRMINGHAM, AL 35209-8803
(205) 871-6926
(205) 868-6696
Mailing address
2200 LAKESHORE DR, SUITE #150, BIRMINGHAM, AL 35209-8803
(205) 871-6926
(205) 868-6696

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1648C
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051512665SOR
BCBS
AL
01
051523261SOR
FED BC
AL
Enumeration date
06/05/2006
Last updated
07/08/2007
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