PAMELA DIXON CLARK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009966

License Status

INACTIVE

Business

First Name

PAMELA

Middle

DIXON

Last Name

CLARK

Business Name

PAMELA DIXON CLARK

Original Issue Date

02/05/2002

Effective Date

02/03/2004

Expiration Date

11/30/2003

City

BALA CYNWYD

State

Zip

19004

County

PENNSYLVANIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005