Individual
MRS. CYNTHIA ANN KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
46413 SPRUCE DR, SHELBY TOWNSHIP, MI 48315-5757
(586) 991-0639
Mailing address
PO BOX 183445, SHELBY TOWNSHIP, MI 48318-3445
(586) 991-0639
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401006810
MI
Other
Enumeration date
07/22/2007
Last updated
07/22/2007
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