Individual
PAMELA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1516 W 86TH LN, MERRILLVILLE, IN 46410-6458
(219) 677-3819
Mailing address
1516 W 86TH LN, MERRILLVILLE, IN 46410-6458
(219) 677-3819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007876A
IN
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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