| Mlk Usa, Llc | |
|
24692 Cashmere Court 133 Southfield MI 48033-4867 | |
| (248) 277-8984 | |
| Not Available |
| Full Name | Mlk Usa, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 24692 Cashmere Court, Southfield, Michigan |
| Authorized Official Name and Position | Mona Lisa Kelly (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2482778984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mlk Usa, Llc 24692 Cashmere Ct # 133 Southfield MI 48033-4867 Ph: (248) 277-8984 | Mlk Usa, Llc 24692 Cashmere Court 133 Southfield MI 48033-4867 Ph: (248) 277-8984 |
| NPI Number | 1972264927 |
|---|---|
| Provider Enumeration Date | 01/03/2022 |
| Last Update Date | 01/03/2022 |
| Certification Date | 01/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972264927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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