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Provider Information for 1992142236


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

PAMELA ANN KNAFFLE LMSW


Sex: Female

NPI: 1992142236
Last Updated: 2013-05-28
Certification Date:

Details

NameValue
NPI1992142236
Enumeration Date2013-05-28
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 3840 RIGGSVILLE RD
CHEBOYGAN, MI 49721-9036
United States

Phone: 231-420-2506 | Fax:
 
Primary Practice Address 3840 RIGGSVILLE RD
CHEBOYGAN, MI 49721-9036
United States

Phone: 231-420-2506 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalMI6801091159