Individual
MS. KELLI MARIE MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
123 S BLAIR AVE, ROYAL OAK, MI 48067-2969
(248) 797-8807
Mailing address
123 S BLAIR AVE, ROYAL OAK, MI 48067-2969
(248) 797-8807
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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