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Individual

ELIZABETH PELLETIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1055 GEZON PKWY SW, WYOMING, MI 49509-9542
(616) 773-2908
(616) 532-3046
Mailing address
1411 BROOKMARK ST SE, KENTWOOD, MI 49508-6116

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801102809
MI

Other

Enumeration date
05/18/2020
Last updated
01/08/2024
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