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Individual

MRS. MARLANA KAY WALL-KETELHUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LLPC, LBSW

Contact information

Practice address
6555 15 MILE RD, STERLING HEIGHTS, MI 48312-4511
(586) 783-8100
(586) 469-7925
Mailing address
42292 MAC RAE DR, STERLING HEIGHTS, MI 48313-2566
(586) 996-1171

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008694
MI
104100000X
Social Worker
6802066714
MI

Other

Enumeration date
02/09/2007
Last updated
11/21/2013
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