Individual
MARY MARGARET WELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
44899 CENTRE CT, SUITE 102, CLINTON TOWNSHIP, MI 48038-5510
(586) 792-1654
(586) 792-1656
Mailing address
44899 CENTRE CT, SUITE 102, CLINTON TOWNSHIP, MI 48038-5510
(586) 792-1654
(586) 792-1656
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4704186647
MI
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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