KELLIE ANN WHITLOCK

LIVONIA, MI
NPI1942405915
Former NameKELLIE ANN BOHLMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301012614)
Enumeration Date2007-06-19
Last Update Date2007-07-08
Business Address
Ms. KELLIE ANN WHITLOCK
29470 ROBERT DR
LIVONIA, MI 48150-3039
Phone number: 734-525-3807
Mailing Address
Ms. KELLIE ANN WHITLOCK
29470 ROBERT DR
LIVONIA, MI 48150-3039
Phone number: 734-525-3807