Coker, Pamela Dawn

Coker, Pamela Dawn is an individual health care provider with primary practice located at 8 Natchez Cv , Clinton MS 39056-9629. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coker, Pamela Dawn can be contacted via phone (203) 640-9387.

Contact Information

Primary practice address
8 Natchez Cv Clinton MS 39056-9629
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C8984 Mississippi

Profile Details

NPI number 1194030239
LBN Legal business name Coker, Pamela Dawn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2010
Last updated Dec 6th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194030239 NPPES
Mississippi MEDICAID 00018209

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