Individual
ELIZABETH A PELLEGROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
18565 WOODDUCK DR, SPRING LAKE, MI 49456-2901
(269) 744-2604
Mailing address
18565 WOODDUCK DR, SPRING LAKE, MI 49456-2901
(269) 744-2604
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008238
MI
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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