Pamela Allcorn
Social Worker, School in Farmington, NM. Individual provider (NPI-1).
NPI number1073061461
StatusActive
Last updated in NPPESJan 11, 2024
Details
- NPI
- 1073061461
- Entity type
- Individual (NPI-1)
- Name
- Pamela Allcorn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2016
- Certification date
- Jan 11, 2024
- Last updated
- Jan 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041S0200X | Social Worker, School | M-09951 | NM | Yes |
| 1041S0200X | Social Worker, School | B-1097 | NM |
Practice location
1201 N Butler AveFarmington, NM 87401-6355
Phone 505-599-8607
Mailing address
1036 Bertie LnBloomfield, NM 87413-4404
Phone 505-330-5785
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