Individual
PAMELA VACCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4986 N ADAMS RD, ROCHESTER, MI 48306-1416
(248) 475-4880
Mailing address
325 TIMBER TRL APT 308, AUBURN HILLS, MI 48326-1197
(313) 920-1165
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009087
MI
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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