Individual
KRISTY KAY EELBODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
KRISTY EELBODE
Contact information
Practice address
2122 15 MILE RD, SUITE B, STERLING HEIGHTS, MI 48310-4853
(586) 264-3692
Mailing address
18222 HOGAN DR, MACOMB, MI 48042-1725
(586) 232-3544
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014265
MI
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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