| NPI | 1033704382 |
|---|---|
| Other Name | PAMELA TINOCO-CARREON |
| Entity Type | Organization |
| Authorized Contact | NIKKI M DENNIS Credentialing Agent 316-308-8273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-16 |