KELLY PORTER

DETROIT, MI
NPI1841774205
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-09-21
Last Update Date2018-09-21
Business Address
KELLY PORTER
9605 GRAND RIVER AVE
DETROIT, MI 48204-2139
Phone number: 313-834-5930
Mailing Address
KELLY PORTER
9605 GRAND RIVER AVE
DETROIT, MI 48204-2139
Phone number: 313-834-5930
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