Individual
NICOLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38935 ANN ARBOR RD, LIVONIA, MI 48150-3397
(248) 807-8961
Mailing address
38935 ANN ARBOR RD, LIVONIA, MI 48150-3397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008399
MI
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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