Kelly Whittaker, M.S.

NPI #1104290626 in Detroit, Michigan

Provider Information

NPI Number: 1104290626
Entity Type: Individual
Name: Kelly Whittaker, M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Credential: M.S.
Enumeration Date: Nov 20, 2015
Last Updated: Nov 20, 2015

Practice Location

Address: 16747 SHAFTSBURY AVE
City: Detroit
State: Michigan
ZIP Code: 48219-4012
Phone: (313) 971-4318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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