Individual
MR. MARC JOSEPH MCELLIGOTT I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1001 N HICKORY RD STE 3, SOUTH BEND, IN 46615-3700
(574) 314-5987
Mailing address
52277 MALLARD POINTE DR, GRANGER, IN 46530-6233
(574) 343-9062
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IN
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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