Organization
MLK USA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONA LISA KELLY LPC (LICENSED PROFESSIONAL COUNSELOR)
(248) 277-8984
Entity
Organization
Contact information
Practice address
24692 CASHMERE COURT, 133, SOUTHFIELD, MI 48033-4867
(248) 277-8984
Mailing address
24692 CASHMERE CT # 133, SOUTHFIELD, MI 48033-4867
(248) 277-8984
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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