Individual
KELLI EILEEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7272 W OUTER DR, DETROIT, MI 48235-3171
(313) 480-4805
Mailing address
7272 W OUTER DR, DETROIT, MI 48235-3171
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
89371398
MI
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
About Stedi
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