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1730550922
PAMELA LACKRAM
MINNETONKA, MN
NPI
1730550922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MN 9335)
Enumeration Date
2015-10-13
Last Update Date
2020-05-08
Business Address
PAMELA LACKRAM M.S., CCC-SLP
15265 MINNETONKA BLVD
MINNETONKA, MN 55345-1510
Phone number: 952-223-2506
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Mailing Address
PAMELA LACKRAM M.S., CCC-SLP
3543 26TH AVE S
MINNEAPOLIS, MN 55406-2541
Phone number: 509-844-3536
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