Individual
SANDRA S KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13931 NORTHFIELD BLVD, OAK PARK, MI 48237-1505
(313) 926-1708
Mailing address
17515 W 9 MILE RD, SOUTHFIELD, MI 48075-4403
(313) 926-1708
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016702
MI
Other
Enumeration date
06/19/2018
Last updated
02/01/2024
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