Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003135807 |
---|---|
Provider Name | Pamela Chaffee |
First Address | Pensacola, FL 32534-1060 |
Second Address | Pensacola, FL 32534-1060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2010 |
Last Update Date | 19/05/2010 |