Individual
KELLI MARIE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15001 MICHIGAN AVE STE 100, DEARBORN, MI 48126-6600
(313) 757-7060
Mailing address
15001 MICHIGAN AVE STE 100, DEARBORN, MI 48126-6600
(313) 757-7060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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