| Doctor Name: | PAMELA L BLUEFORD |
| NPI Number: | 1023304714 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | LCSW-30823 |
| Business Practice Address: | 51 Mdg Sgoh Unit 2060 Apo, AP - 962782060 |
| Business Phone Number: | 01182316612148 |
| Business Fax Number: | 01182316612630 |
| Mailing Address: | 51 Mdg Sgoh, Unit 2060 APO |
| State: | AP |
| Postal Code: | 962782060 |
| Phone Number: | 01182316612148 |
| Fax Number: | 01182316612630 |
| NPI Enumeration Date: | 06/22/2011 |
| NPI Last Update Date: | 06/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW-30823 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |