Individual
MELANIE LETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2265 LIVERNOIS RD, SUITE 701, TROY, MI 48083-1633
(248) 770-3576
Mailing address
2265 LIVERNOIS, #701, TROY, MI 48083
(248) 649-8050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011677
MI
Other
Enumeration date
05/04/2015
Last updated
06/02/2017
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