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1265445290
PAMELA K WILLIS
BRISTOL, TN
NPI
1265445290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: TN LCSW4499)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
Ms. PAMELA K WILLIS LCSW MSW
26 MIDWAY
BRISTOL, TN 37620
Phone number: 423-989-4500
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Mailing Address
Ms. PAMELA K WILLIS LCSW MSW
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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