Individual
KELLY DEDENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 WINDSOR RD, ROCHESTER HILLS, MI 48307-3882
(313) 820-8064
Mailing address
110 MARKET ST, MOUNT CLEMENS, MI 48043-5674
(313) 820-8064
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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