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NPI Code Detail

MEDICARE: PAMELA JONES LCSW

MEDICARE:   PAMELA  JONES  LCSW
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 Worker00456TX

General Provider Information

NPI Number : 1477720290
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA JONES LCSW
Provider Business Mailing Address
First Line : 24891 HIGHWAY 6
Second Line :
City : HEMPSTEAD
State : TX
Zip : 77445-7747
Country : US
Telephone Number : 800-869-8552
Fax Number :
Provider Business Practice Location Address
First Line : 24891 HIGHWAY 6
Second Line :
City : HEMPSTEAD
State : TX
Zip : 77445-7747
Country : US
Telephone Number : 800-869-8552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2008
Last Update Date : 05/12/2008

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Directions to “ PAMELA JONES LCSW” Practice Location

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