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Individual

DR. JEFFREY GARTH KUENTZEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
383 FISHER RD, GROSSE POINTE, MI 48230-1674
(313) 600-9840
(313) 577-8949
Mailing address
815 N MELBORN ST, DEARBORN, MI 48128-1722
(313) 600-9840
(313) 577-8949

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011683
MI

Other

Enumeration date
01/15/2008
Last updated
01/15/2008
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