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Individual

MRS. KELLY TATARELLI-MULLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW, PSYD, LLP

Contact information

Practice address
3300 WASHTENAW AVE, SUITE 260, ANN ARBOR, MI 48104-4200
(734) 677-0200
(734) 677-3310
Mailing address
3300 WASHTENAW AVE, SUITE 260, ANN ARBOR, MI 48104-4200
(734) 677-0200
(734) 677-3310

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T364465261964
MI

Other

Enumeration date
09/08/2009
Last updated
09/17/2021
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