Provider Information for 1043305857
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Mrs. PAMELA DIANE SHERWIN LCSW
Sex: Female
NPI: 1043305857
Last Updated: 2015-03-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1043305857 | ||||||||
| Enumeration Date | 2006-10-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 560 JACKSON ST N SAINT PETERSBURG, FL 33705-1449 United States Phone: 727-580-6131 | Fax:727-816-1726 | ||||||||
| Primary Practice Address | 560 JACKSON ST N SAINT PETERSBURG, FL 33705-1449 United States Phone: 727-580-6131 | Fax:727-816-1726 | ||||||||
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