Individual
EMMA FAY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7035 ORCHARD LAKE RD STE 800, WEST BLOOMFIELD, MI 48322-5301
(248) 669-9500
Mailing address
1603 CATALPA DR, ROYAL OAK, MI 48067-1153
(248) 912-8191
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6362009699
MI
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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