Individual
MRS. MARCIA MARGARET KOSOVEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1525 N EAST MULLETT LAKE RD, INDIAN RIVER, MI 49749-9158
(248) 561-3611
Mailing address
1525 N EAST MULLETT LAKE RD, INDIAN RIVER, MI 49749-9158
(248) 561-3611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401004972
MI
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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