Kelli Marie Marcus, LLPC
Technician, Other in Royal Oak, MI. Individual provider (NPI-1).
NPI number1760880496
StatusActive
Last updated in NPPESDec 11, 2014
Details
- NPI
- 1760880496
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kelli Marie Marcus
- Credential
- LLPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2014
- Last updated
- Dec 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
123 S Blair AveRoyal Oak, MI 48067-2969
Phone 248-797-8807
Mailing address
123 S Blair AveRoyal Oak, MI 48067-2969
Phone 248-797-8807
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