Individual
MS. ELIZABETH SUBRAMANIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
658 GRAND AVE, SAINT PAUL, MN 55105-3417
(612) 920-2030
Mailing address
9025 W 31ST ST, ST LOUIS PARK, MN 55426-2969
(612) 387-6596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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