Individual
KELSEY MARIE-COMBS FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E MAIN ST, STANTON, MI 48888-9687
(989) 831-9111
Mailing address
106 S SENATOR RD, CRYSTAL, MI 48818-9651
(989) 287-2064
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401019128
MI
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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