MS. Pamela Suzanne Gengo, LCSW
NPI #1083710594 in Banning, California
Provider Information
- NPI Number
- 1083710594
- Entity Type
- Individual
- Name
- MS. Pamela Suzanne Gengo, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Sep 15, 2006
- Last Updated
- Jul 16, 2007
Practice Location
- Address
- 1330 W RAMSEY ST STE 100
- Address 2
- BANNING MENTAL HEALTH CLINIC
- City
- Banning
- State
- California
- ZIP Code
- 92220-4448
- Phone
- (951) 849-7142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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