Individual
MS. PAMELA GILLIAM MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2324 UNIVERSITY AVE W STE 120, SAINT PAUL, MN 55114-1854
(651) 644-4100
Mailing address
3339 HOLMES AVENUE, MINNEAPOLIS, MN 55408
(612) 386-1521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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