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Individual

DR. PAMALA WOOD JACOBEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., L.P.

Contact information

Practice address
402 WASHINGTON ST, SUITE A, NORTHFIELD, MN 55057-5190
(507) 645-4253
(507) 645-6658
Mailing address
405 MANITOU ST, PO BOX 738, NORTHFIELD, MN 55057-1514
(507) 645-4253
(507) 645-6658

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2861
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
574048700
MN
Enumeration date
07/26/2005
Last updated
02/14/2012
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