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Individual
MICHELLE A KOSMAK
Active
Individual
MICHELLE A KOSMAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15878
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
836108800
—
MN
Enumeration date
09/28/2006
Last updated
04/07/2020
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