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Ellyn Petrino, BSW
Student in an Organized Health Care Education/Training Program in Kalamazoo, Michigan
NPI 1871108621

Ellyn Petrino is a Student in an Organized Health Care Education/Training Program based in Kalamazoo, MI. Ellyn Petrino practices in Kalamazoo, MI and has the professional credentials of BSW. The NPI Number for Ellyn Petrino is 1871108621 and holds a License No. (Michigan).

The current practice location address for Ellyn Petrino is 610 S Burdick St, Kalamazoo, MI and can be reached out via phone at 269-381-3700 and via fax at 269-381-3810.

Location: 610 S Burdick St, Kalamazoo, MI, 49007-5221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871108621
Provider Name
Ellyn Petrino
Credential
BSW
Provider Entity Type
Individual
Gender
Female
Address
610 S Burdick St, Kalamazoo, MI, 49007-5221
Phone Number
269-381-3700
Fax Number
269-381-3810
Provider Enumeration Date
09/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
610 S Burdick St
City
Kalamazoo
State
Michigan
Zip
49007-5221
Phone Number
269-381-3700
Fax Number
269-381-3810
person
Provider Business Mailing Address Details
Address
610 S Burdick St
City
Kalamazoo
State
Michigan
Zip
49007-5221
Phone Number
269-381-3700
Fax Number
269-381-3810
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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