Organization
CONNALLY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALTON KILLIAN CONNALLY PHD (OWNER)
(517) 676-9788
Entity
Organization
Contact information
Practice address
3300 WASHTENAW AVE STE 260, ANN ARBOR, MI 48104-5184
(734) 277-7565
(734) 215-2363
Mailing address
3300 WASHTENAW AVE STE 260, ANN ARBOR, MI 48104-5184
(734) 277-7565
(734) 215-2363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801095252
MI
Other
Enumeration date
10/15/2013
Last updated
08/05/2021
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