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Individual

KELLI SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LLPC

Contact information

Practice address
5100 EASTMAN AVE STE 2, MIDLAND, MI 48640-6793
(989) 832-0191
(989) 486-9413
Mailing address
862 S GREY RD, MIDLAND, MI 48640-8951
(989) 513-9659

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023260
MI

Other

Enumeration date
09/05/2023
Last updated
09/05/2023
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