Individual
MELISSA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 498-3091
Mailing address
14880 PENROD ST, DETROIT, MI 48223-2335
(313) 559-7332
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704278559
MI
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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