Individual
MS. MELISSA COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25945 W 7 MILE RD, REDFORD, MI 48240-1808
(313) 535-6560
(313) 535-5266
Mailing address
1516 WIARD BLVD, YPSILANTI, MI 48198-3368
(248) 755-2251
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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