Individual
PAMELA FOLEY SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 NEBRASKA ST, BLAIR, NE 68008-1577
(402) 650-7036
Mailing address
7517 S 93RD ST, LA VISTA, NE 68128-4269
(402) 650-7036
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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