Individual
MRS. KELLY ANNE FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1225 E BIG BEAVER RD, TROY, MI 48083-1905
(248) 524-8801
(248) 524-8850
Mailing address
1225 E BIG BEAVER RD, TROY, MI 48083-1905
(248) 524-8801
(248) 524-8850
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
12/31/2015
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