Individual
MRS. PAMELA MICALLEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
575 S MAIN ST, STE 6, PLYMOUTH, MI 48170-1778
(734) 451-7800
Mailing address
210 PUEBLO, MILFORD, MI 48381-2949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401007480
MI
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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