Provider Information for 1912325713
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PAMELA SKON LICSW
Sex: Female
NPI: 1912325713
Last Updated: 2024-08-07
Certification Date: 2024-08-07
Certification Date: 2024-08-07
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1912325713 | ||||||||
| Enumeration Date | 2014-03-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 810 SIXTH AVE SANDPOINT, ID 83864-5396 United States Phone: 218-556-6438 | Fax: | ||||||||
| Primary Practice Address | 810 SIXTH AVE SANDPOINT, ID 83864-5396 United States Phone: 208-263-3410 | Fax: | ||||||||
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