Individual
KELLIE STITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 BLAKE ST, SAGINAW, MI 48602-3834
(989) 401-9400
Mailing address
2504 BLAKE ST, SAGINAW, MI 48602-3834
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
11/27/2023
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