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General NPI Number Information
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NPI Number | 1609059419
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Entity Type | Individual
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Provider Name | PAMELA J SECONDINE LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 3190 HALLMARK CT.
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City | SAGINAW
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State | MI
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Zip | 48603-2100
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Country | US
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Telephone | 989-790-3366
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Fax | 989-790-5027
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Provider Business Mailing Address
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Address Line | 510 VILLAGE W APT D
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City | MIDLAND
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State | MI
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Zip | 48642-9343
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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 |
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Name |
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Credential |
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Telephone |
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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 | 6801067086
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License Number State | MI
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