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General NPI Number Information
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NPI Number | 1598534851
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Entity Type | Organization
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Legal Business Name | PAMELA MCCONNELL LICSW
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 27 COLLEGE ST
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-1155
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Country | US
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Telephone | 413-438-3372
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Fax |
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Provider Business Mailing Address
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Address Line | 545 FEDERAL ST
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City | BELCHERTOWN
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State | MA
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Zip | 01007-9756
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | PAMELA JM SHEA
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Credential | LICSW
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Telephone | 413-438-3372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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