Individual
MELISSA NICOLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20303 KELLY RD, DETROIT, MI 48225-1206
(313) 308-1400
Mailing address
11777 STAMFORD AVE, WARREN, MI 48089-1261
(313) 312-2431
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301017085
MI
Other
Enumeration date
09/28/2016
Last updated
06/26/2017
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