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Organization
KRISTIN M MELOTIK PLC
Active
Organization
KRISTIN M MELOTIK PLC
Active
Other names
Kristin Marie Periard MSW, LMSW
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN MARIE PERIARD MSW LMSW (AGENT PSYCHOTHERAPIST)
(248) 347-6110
Entity
Organization
Contact information
Practice address
120 WEST MAIN ST, STE 202, NORTHVILLE, MI 48167
(248) 347-6110
(248) 347-1120
Mailing address
120 WEST MAIN ST, STE 202, NORTHVILLE, MI 48167
(248) 347-6110
(248) 347-1120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801067292
MI
Other
Enumeration date
12/04/2006
Last updated
10/13/2009
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