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Individual
MRS. PAMELA R. RE
Active
Individual
MRS. PAMELA R. RE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C., L.C.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.001019
IL
101YP2500X
Professional Counselor
Primary
180.009233
IL
Other
Enumeration date
10/12/2011
Last updated
10/15/2014
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