Individual
STACY PELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2060 HEALTH DR SW, WYOMING, MI 49519-9687
(616) 333-1200
Mailing address
4121 60TH ST, HOLLAND, MI 49423-9380
(616) 403-2680
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004428
MI
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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