Individual
MISS DANELL ELAINE PANOZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1022 E MAIN ST, BENTON HARBOR, MI 49022-3036
(269) 926-0015
Mailing address
1733 W WAGNER RD, BUCHANAN, MI 49107-9336
(269) 357-5123
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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