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PAMELA KAY BLACKWELL

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1740376532

Individual Registrant:
 PAMELA KAY BLACKWELL 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
162 GROVE ST STE J  BISHOP, CA 93514-2652 US
Tel: 760-873-6533  Fax: 760-873-3277

Contact information for business:
162 GROVE ST STE J  BISHOP, CA 93514-2652 US
Tel: 760-873-6533  Fax: 760-873-3277

Registration Information:
NPI: 1740376532
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CA19310

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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