Female

Miss Pamela J. Wentz LSW

Social Worker in Bismarck, ND(View on Map)

Full Name

Miss Pamela Jeanne Wentz LSW

NPI Number

1245413913

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/17/2007

Specialties

(Taxonomies)

Code

104100000X
171M00000X

Primary Taxonomy

Yes
No

Licenses

State

North Dakota
North Dakota

License Number

3929
079317

Contact
Information

Purpose

Mailing
Location

Address

1015 S BROADWAY
1237 W DIVIDE AVE STE 5

City

Minot
Bismarck

State

ND
ND

Postal Code

58701-4667
58501-1208

Country

US
US

Telephone Number

(701) 857-8500
(701) 328-8745

Identifiers

Identifier

054517

Identifier State

ND

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/07/2022

Provider Address

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