Sue Pellerito LLC
Social Worker, Clinical in Ann Arbor, MI. Organization (NPI-2).
NPI number1164042917
StatusActive
Last updated in NPPESApr 22, 2020
Details
- NPI
- 1164042917
- Entity type
- Organization (NPI-2)
- Legal business name
- Sue Pellerito LLC
- Organization subpart
- No
- Enumeration date
- Apr 22, 2020
- Certification date
- Apr 22, 2020
- Last updated
- Apr 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Other names
- Sue Pellerito Lmsw, LLC (Doing Business As)
- Suzanne M Pellerito (Doing Business As)
Practice location
2311 Shelby Ave Ste 105aAnn Arbor, MI 48103-3849
Phone 734-775-0662 · Fax 734-726-5138
Mailing address
9915 Huron River DrDexter, MI 48130-9466
Phone 734-775-0662
Authorized official
Suzanne M Pellerito
Owner
7347750662
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