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1083705446
KELLY D WHITE
DETROIT, MI
NPI
1083705446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 71007047)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
Dr. KELLY D WHITE Psy.D.
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
Dr. KELLY D WHITE Psy.D.
18475 ROBSON ST
DETROIT, MI 48235-2863
Phone number: 313-270-4615
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