Individual
KELLY MARIE EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3069 UNIVERSITY DR, AUBURN HILLS, MI 48326-2324
(586) 260-6641
Mailing address
930 RIDGEVIEW CIR, LAKE ORION, MI 48362-3441
(586) 260-6641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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