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NPI Code Detail

MEDICARE: PAMELA JEAN WHITLOCK

MEDICARE: PAMELA JEAN WHITLOCK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker117004MA

General Provider Information

NPI Number : 1205170503
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA JEAN WHITLOCK
Provider Business Mailing Address
First Line : 171 HIGH RD
Second Line :
City : NEWBURY
State : MA
Zip : 01951-2211
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 116 SUMMER ST
Second Line :
City : HAVERHILL
State : MA
Zip : 01830-6032
Country : US
Telephone Number : 978-373-7010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2012
Last Update Date : 06/02/2026

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Directions to “ PAMELA JEAN WHITLOCK ” Practice Location

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