Most Relevant Information
Provider Data
| NPI Number: | 1003263401 |
| Provider Name: | PAMELA SHORT LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | ASW66482 |
Most Important Dates
| Enumeration Date: | 05/16/2016 |
| Last Updated: | 12/02/2020 |
Provider Practice Location
301 E 13TH ST
MERCED
CA
953416211
Practice Location Phone/Fax
| Phone: | 2093816840 |
| Fax: |
Provider Mailing Location
5362 LEMEE LN
MARIPOSA
CA
953389556
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |