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Individual

MS. PAMELA ELAINE ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, NCAC II, CAC II

Contact information

Practice address
211 GLENDALE ST, HIGHLAND PARK, MI 48203-3231
(313) 868-8223
(313) 868-8891
Mailing address
24339 COUNTRY SQUIRE ST, CLINTON TOWNSHIP, MI 48035-5724
(586) 790-2732

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
820844
SUBSTANCE ABUSE LICENSE
MI
Enumeration date
03/13/2007
Last updated
07/08/2007
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