Pamela Irene Ballew, LCSW
Social Worker, Clinical in Fayetteville, AR. Individual provider (NPI-1).
NPI number1346359932
StatusActive
Last updated in NPPESApr 29, 2008
Details
- NPI
- 1346359932
- Entity type
- Individual (NPI-1)
- Name
- Ms. Pamela Irene Ballew
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2006
- Last updated
- Apr 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2230-C | AR | Yes |
Practice location
1100 N College AveFayetteville, AR 72703-1944
Phone 479-587-5805
Mailing address
118 Briarmeadow St.Farmington, AR 72730
Phone 479-267-0901
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