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Individual

PAMELA SAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
684 SAVANNAH LN, CRYSTAL LAKE, IL 60014-4572
(847) 323-8972
Mailing address
684 SAVANNAH LN, CRYSTAL LAKE, IL 60014-4572
(847) 323-8972

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/05/2015
Last updated
02/05/2015
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