Individual
MAGGIE KOZMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
601 SKOKIE BLVD, NORTHBROOK, IL 60062-2851
(847) 607-1589
Mailing address
6723 PINE LN, CARPENTERSVILLE, IL 60110-3431
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009545
IL
Other
Enumeration date
07/09/2017
Last updated
07/09/2017
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