Individual
DR. DEBORAH PELLEGRINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4087 BANBURY PL, SWANSEA, IL 62226-8516
(618) 972-3250
Mailing address
4087 BANBURY PL, SWANSEA, IL 62226-8516
(618) 972-3250
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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