Individual
PAMELA RUTH BAILLIE-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
4815 BURNING TREE RD STE 106, DULUTH, MN 55811-3800
(218) 464-0908
(218) 722-4400
Mailing address
4815 BURNING TREE RD STE 106, DULUTH, MN 55811-3800
(218) 464-0908
(218) 722-4400
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1267
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630131200
—
MN
Enumeration date
07/07/2006
Last updated
03/17/2018
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