Individual
PAMELA VILETTA STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1740 E 67 N, LOT 57 B, HUNTINGTON, IN 46750
(219) 386-3600
(219) 386-3660
Mailing address
PO BOX 166, KOUTS, IN 46347-0166
(219) 281-6163
(219) 386-3600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007467A
IN
1041C0700X
Clinical Social Worker
57798
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300045162
—
IN
Enumeration date
09/06/2013
Last updated
01/08/2021
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