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Individual

MRS. KELLI LYNN SHAHEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA TLLP

Contact information

Practice address
5701 BOW POINTE DR STE 380, CLARKSTON, MI 48346-5406
(248) 241-6514
Mailing address
5701 BOW POINTE DR STE 380, CLARKSTON, MI 48346-5406
(248) 241-6514

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014570
MI

Other

Enumeration date
03/15/2011
Last updated
03/15/2011
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