Individual
CARISSA PELLERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 6TH AVE, TROY, NY 12180-2227
(518) 274-5143
Mailing address
107 PALIN CT, LATHAM, NY 12110-3756
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114417
NY
104100000X
Social Worker
—
—
Other
Enumeration date
05/13/2021
Last updated
02/22/2022
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