Individual
KELLY GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3311 COLBY RD STE I, WHITEHALL, MI 49461-9289
(231) 893-3626
Mailing address
7888 WHITEHALL RD, WHITEHALL, MI 49461-9494
(231) 893-3626
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/30/2015
Last updated
02/25/2019
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