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1285817528
AMY ELIZABETH MELLUM
ST. PAUL, MN
NPI
1285817528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN 17145)
Enumeration Date
2007-12-10
Last Update Date
2012-03-28
Business Address
Ms. AMY ELIZABETH MELLUM LICSW
311 RAMSEY ST., SUITE 205
ST. PAUL, MN 55102
Phone number: 651-262-9726
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Mailing Address
Ms. AMY ELIZABETH MELLUM LICSW
1137 SEMINARY AVE.
ST. PAUL, MN 55104
Phone number: 651-262-9726
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