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Individual

PAMELA RABORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
3600 MEMORIAL BLVD, KERRVILLE, TX 78028-5819
(830) 896-2020
Mailing address
216 POCO VISTA DR, KERRVILLE, TX 78028-6118
(830) 928-6096

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20991
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20991
TEXAS STATE BOARD OF SOCIAL WORK EXAMINERS
TX
Enumeration date
10/25/2017
Last updated
10/25/2017
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