MS. Pam L Fore, LICSW

NPI #1861533630 in Brainerd, Minnesota

Provider Information

NPI Number
1861533630
Entity Type
Individual
Name
MS. Pam L Fore, LICSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Feb 12, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
520 NW 5TH ST
ZIP Code
56401-2902
Phone
(218) 829-3235

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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