| Doctor Name: | MS. PAMELA ROSE BLUNT |
| NPI Number: | 1831214493 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCSW-4071 |
| Business Practice Address: | 43 Howell Avenue Bisbee, AZ - 85603 |
| Business Phone Number: | 5204323557 |
| Business Fax Number: | 8665277033 |
| Mailing Address: | Po Box 768, BISBEE |
| State: | AZ |
| Postal Code: | 856030768 |
| Phone Number: | 5204323557 |
| Fax Number: | 8665277033 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 02/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW-4071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |