ELLEN MARY MANEGOLD

GRAND RAPIDS, MI
NPI1194376053
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301018734)
Enumeration Date2019-09-23
Last Update Date2021-02-25
Business Address
ELLEN MARY MANEGOLD PhD
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503-2530
Phone number: 616-267-2830
Mailing Address
ELLEN MARY MANEGOLD PhD
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: