Individual
MRS. IZABELLA GORIVODSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
30500 NORTHWESTERN HWY, 316, FARMINGTON HILLS, MI 48334-3178
(248) 875-3661
Mailing address
1494 COMMERCE PINES DR, COMMERCE, MI 48390
(248) 875-3661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801085997
MI
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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