Individual
JAMIE KOSMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 578-6113
Mailing address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 578-6113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802087070
MI
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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