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1013034024
KELLY KATHLEEN MCKISSICK
DETROIT, MI
NPI
1013034024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6802069352)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Mrs. KELLY KATHLEEN MCKISSICK BS, LBSW
1423 FIELD ST
DETROIT, MI 48214-2321
Phone number: 313-924-7860
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Mailing Address
Mrs. KELLY KATHLEEN MCKISSICK BS, LBSW
1423 FIELD ST
DETROIT, MI 48214-2321
Phone number: 313-924-7860
Copy
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