Most Relevant Information
Provider Data
| NPI Number: | 1003453473 |
| Provider Name: | ELIZABETH SUBRAMANIAM MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/04/2019 |
| Last Updated: | 12/04/2019 |
Provider Practice Location
658 GRAND AVE
SAINT PAUL
MN
551053417
Practice Location Phone/Fax
| Phone: | 6129202030 |
| Fax: |
Provider Mailing Location
9025 W 31ST ST
ST LOUIS PARK
MN
554262969
Provider Mailing Phone/Fax
| Phone: | 6123876596 |
| Fax: |