Organization
THIS IZ ME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A KELLEY LMSW (OWNER)
(734) 652-4573
Entity
Organization
Contact information
Practice address
939 WATERLOO AVE, MONROE, MI 48161-1660
(734) 652-4573
(734) 621-4026
Mailing address
939 WATERLOO AVE, MONROE, MI 48161-1660
(734) 652-4573
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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