Individual
DR. KIMBERLY ELYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12305 DEXTER AVE, DETROIT, MI 48206-1015
(313) 397-1306
(313) 397-6010
Mailing address
12305 DEXTER AVE, DETROIT, MI 48206-1015
(313) 397-1306
(313) 397-6010
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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