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Organization

PAMELA F. ELGIN LPC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA FRANKLIN ELGIN LPC (LICENSED PROFESSIONAL COUNSELOR)
(414) 550-0659
Entity
Organization

Contact information

Practice address
216 GREEN BAY RD, SUITE 204, THIENSVILLE, WI 53092-1658
(414) 550-0659
(262) 236-0288
Mailing address
216 GREEN BAY RD, SUITE 204, THIENSVILLE, WI 53092-1658
(414) 550-0659
(262) 236-0288

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
189-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1780799890
PERSONAL NPI NUMBER
WI
05
40969700
WI
Enumeration date
02/28/2007
Last updated
08/22/2020
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