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Individual

MARY ROSE KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2655 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3711
(906) 632-2522
Mailing address
100 MALTON RD, NEGAUNEE, MI 49866-2001
(906) 228-9699

Taxonomy

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

Other

Enumeration date
12/23/2025
Last updated
12/23/2025
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