Individual
SEAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
204 MEADOWS DR, GRAYLING, MI 49738-2013
(231) 590-9043
Mailing address
204 MEADOWS DR, GRAYLING, MI 49738-2013
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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