Individual
MELISSA PAVLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
12918 63RD AVE N, MAPLE GROVE, MN 55369-6001
(763) 210-9966
Mailing address
12918 63RD AVE N, MAPLE GROVE, MN 55369-6001
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2776
MN
Other
Enumeration date
09/07/2017
Last updated
06/01/2022
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