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Individual

MRS. KELTIE H NIELSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2636 CADILLAC BLVD, DETROIT, MI 48214-4027
(313) 300-0860
Mailing address
2636 CADILLAC BLVD, DETROIT, MI 48214-4027
(313) 300-0860

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401223041
MI

Other

Enumeration date
11/09/2022
Last updated
11/09/2022
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