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1609904390
KELLY COUSINO
DETROIT, MI
NPI
1609904390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
Additional Taxonomies
171W00000X Contractor
Enumeration Date
2007-03-02
Last Update Date
2021-11-03
Business Address
KELLY COUSINO CTRS
4646 JOHN R ST RM A5109
DETROIT, MI 48201-1916
Phone number: 313-576-1217
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Mailing Address
KELLY COUSINO CTRS
4646 JOHN R ST RM A5109
DETROIT, MI 48201-1916
Phone number: 133-576-1217
Copy
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