Individual
ELLYN MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11652 W GRAND RIVER AVE, LOWELL, MI 49331-8465
(616) 256-0826
Mailing address
11652 W GRAND RIVER AVE, LOWELL, MI 49331-8465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/26/2024
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