Individual
KELLIE MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FORD PL, DETROIT, MI 48202-3450
(843) 725-9803
Mailing address
18760 WALMER LN, BEVERLY HILLS, MI 48025-5251
(843) 725-9803
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016782
MI
Other
Enumeration date
07/19/2017
Last updated
03/13/2021
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