Individual
MISS MALAIKA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7845 MIDDLEBELT RD, SUITE 201, ROMULUS, MI 48174-2174
(734) 721-0900
(734) 721-0909
Mailing address
736 WESTERN ST, INKSTER, MI 48141-3409
(313) 957-8132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6803081921
MI
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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