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Individual

MR. AUSTIN HENRY KOVAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, TLLP

Contact information

Practice address
35640 W MICHIGAN AVE, WAYNE, MI 48184-1628
(734) 729-7792
Mailing address
25857 SPRINGBROOK DR, FARMINGTON HILLS, MI 48336-1377
(248) 320-6750

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016418
MI

Other

Enumeration date
05/04/2015
Last updated
08/13/2015
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