Individual
DENISE ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-7000
(313) 343-6310
Mailing address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(586) 753-0405
(586) 753-0404
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801062362
MI
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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