Individual
MS. JUDY PAULA KOTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
13309 LASALLE, HUNTINGTON WOODS, MI 48070-1031
(248) 376-1138
Mailing address
13309 LASALLE, HUNTINGTON WOODS, MI 48070-1031
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801064971
MI
1041C0700X
Clinical Social Worker
6801064971
MI
Other
Enumeration date
12/04/2018
Last updated
01/25/2021
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