Individual
KELLY FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6158 HIGH VALLEY DR, WHITE LAKE, MI 48383-3378
(248) 887-6292
Mailing address
6158 HIGH VALLEY DR, WHITE LAKE, MI 48383-3378
(248) 887-6292
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013924
MI
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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