Individual
KELLY CHAIKEN-CROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20303 KELLY RD, DETROIT, MI 48225-1206
(313) 245-7000
(313) 245-7009
Mailing address
20303 KELLY RD, DETROIT, MI 48225-1206
(313) 245-7000
(313) 245-7009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017925
MI
Other
Enumeration date
11/09/2016
Last updated
08/05/2022
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