Individual
KELLY C HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9735 HORSESHOE BND, DEXTER, MI 48130-9532
(734) 358-0179
Mailing address
9735 HORSESHOE BND, DEXTER, MI 48130-9532
(734) 358-0179
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401222346
MI
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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