PAMELA GAYLE LEISURE

WATERTOWN, SD
NPI1356337760
Other NamePAMELA GAYLE OGORMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SD  03071158)
Enumeration Date2005-09-21
Last Update Date2007-07-08
Business Address
Mrs. PAMELA GAYLE LEISURE CCDC III
123 19TH ST NE
WATERTOWN, SD 57201-2823
Phone number: 605-886-0123
Mailing Address
Mrs. PAMELA GAYLE LEISURE CCDC III
PO BOX 1030
WATERTOWN, SD 57201-6030
Phone number: 605-886-0123