Individual
ERIC G KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
6692 SPRING ARBOR RD, JACKSON, MI 49201-9812
(517) 750-3869
Mailing address
6692 SPRING ARBOR RD, JACKSON, MI 49201-9812
(517) 750-3869
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6851118862
MI
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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