Individual
MS. PAMELA ROSE BLUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
43 HOWELL AVENUE, BISBEE, AZ 85603
(520) 432-3557
(866) 527-7033
Mailing address
PO BOX 768, BISBEE, AZ 85603-0768
(520) 432-3557
(866) 527-7033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-4071
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
649080
—
AZ
Enumeration date
03/20/2007
Last updated
02/04/2008
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