Individual
FELICIA MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
18427 KENTUCKY ST, DETROIT, MI 48221-2029
(313) 704-1387
Mailing address
18427 KENTUCKY ST, DETROIT, MI 48221-2029
(313) 704-1387
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6802-088939
MI
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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