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Individual
PAMELA L WIZNER-RANDAZZO
Active
Individual
PAMELA L WIZNER-RANDAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CAADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401006060
MI
101YM0800X
Mental Health Counselor
Primary
6401006060
MI
101YP2500X
Professional Counselor
6401006060
MI
Other
Enumeration date
09/18/2008
Last updated
07/23/2024
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