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1013606086
ASHANTAE ELIZABETH-JEAN KELLEY
DETROIT, MI
NPI
1013606086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-05-04
Last Update Date
2023-05-04
Business Address
Ms. ASHANTAE ELIZABETH-JEAN KELLEY
15025 FENKELL ST
DETROIT, MI 48227-2647
Phone number: 313-345-4310
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Mailing Address
Ms. ASHANTAE ELIZABETH-JEAN KELLEY
15941 FAIRFIELD ST
DETROIT, MI 48238-4123
Phone number: 313-345-4310
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