Kristin M Melotik Plc

NPI #1902974231 in Northville, Michigan

Provider Information

NPI Number
1902974231
Entity Type
Organization
Organization Name
Kristin M Melotik Plc
Primary Specialty
Social Worker - Clinical
Enumeration Date
Dec 4, 2006
Last Updated
Oct 13, 2009

Practice Location

Address
120 WEST MAIN ST
Address 2
STE 202
ZIP Code
48167
Phone
(248) 347-6110

Authorized Official

Name
MRS. KRISTIN MARIE PERIARD, MSW LMSW
Title
AGENT PSYCHOTHERAPIST
Phone
(248) 347-6110

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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