Individual
PAMELA DOREEN BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2351 CONNECTICUT AVE S STE 105, SARTELL, MN 56377-2479
(320) 316-0288
Mailing address
2351 CONNECTICUT AVE S STE 105, SARTELL, MN 56377-2479
(320) 316-0288
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1963
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073761631
—
MN
Enumeration date
09/08/2008
Last updated
03/17/2018
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