Individual
MR. ROBERT MICHAEL CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1852 W GRAND BLVD, DETROIT, MI 48208-1006
(313) 894-8444
(313) 894-5542
Mailing address
1852 W GRAND BLVD, DETROIT, MI 48208-1006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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