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Organization
MICHELLE A KOSMAK LICSW LLC
Active
Organization
MICHELLE A KOSMAK LICSW LLC
Active
Other names
Michelle A Kosmak LICSW LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE KOSMAK LICSW (OWNER/CLINICIAN)
(612) 825-1559
Entity
Organization
Contact information
Practice address
8085 WAYZATA BLVD STE 101B, GOLDEN VALLEY, MN 55426-1468
(612) 825-1559
(612) 545-0100
Mailing address
8085 WAYZATA BLVD STE 101B, GOLDEN VALLEY, MN 55426-1468
(612) 825-1559
(612) 545-0100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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