Individual
KATHERINE GRACE KUSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5729 SHAGBARK DR, ANN ARBOR, MI 48108-9554
(734) 646-2716
Mailing address
5729 SHAGBARK DR, ANN ARBOR, MI 48108-9554
(586) 242-8597
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015763
MI
Other
Enumeration date
05/17/2012
Last updated
09/08/2014
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