Individual
JEROME J KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2300 GENOA BUSINESS PARK DR, SUITE 180, BRIGHTON, MI 48114-7367
(810) 220-2787
(810) 220-2834
Mailing address
5474 HIDDEN PINES DR, BRIGHTON, MI 48116-7765
(810) 225-5604
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007787
MI
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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