Individual
MRS. DEBORAH LOUISE KOKOSZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Mailing address
523 WILLIAM G DR, CAPAC, MI 48014-3046
(810) 320-7215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801072841
MI
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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