Individual
KAELEIGH HEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
6548 TOWN CENTER DR STE D, CLARKSTON, MI 48346-4823
(248) 422-1430
Mailing address
5572 ARBOR BAY CT, BRIGHTON, MI 48116-7783
(810) 623-6399
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851115054
MI
Other
Enumeration date
06/18/2018
Last updated
07/21/2022
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