Individual
KELLI ARAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1639 LILLIAN ST, WESTLAND, MI 48186-4957
(734) 239-0623
Mailing address
1639 LILLIAN ST, WESTLAND, MI 48186-4957
(734) 239-0623
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1134203235
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134203235
—
MI
Enumeration date
02/20/2014
Last updated
02/20/2014
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