Individual
MRS. TAMARA LYNETTE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C
Contact information
Practice address
1460 WALTON BOULEVARD, SUITE 109, ROCHESTER HILLS, MI 48309-1729
(248) 651-0900
Mailing address
1460 WALTON BOULEVARD, SUITE 109, ROCHESTER HILLS, MI 48309-1729
(248) 651-0900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401000169
MI
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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